STACEY D PETERSON
NPI 1073207569
Nurse Practitioner - Primary Care in Minot, ND
About Stacey D Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY D PETERSON (NPI 1073207569) is an individual primary care provider in Minot, North Dakota, licensed in North Dakota (R32510) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey D Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minot, ND 58701
- Reassigned Medicare billing, North Dakota enrollment
- 339 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Hospitals
Acute Care Hospitals · Minot, NDTrinity Kenmare Community Hospital
Critical Access Hospitals · Kenmare, NDSt Andrew's Hospital
Critical Access Hospitals · Bottineau, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Peterson's NPI number?
The NPI number for Stacey Peterson is 1073207569. It was assigned to this individual provider in the NPPES registry on June 7, 2023.
Where is Stacey Peterson located?
Stacey Peterson practices at 400 Burdick Expy E, Minot, ND 58701. The listed phone number is (701) 418-8000.
What is Stacey Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Stacey Peterson enrolled in Medicare?
Yes. Stacey Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Stacey Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Peterson reassigns Medicare benefits to Trinity Health (Minot, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Peterson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Stacey Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Stacey Peterson affiliated with any hospitals?
According to CMS data, Stacey Peterson is affiliated with Trinity Hospitals, Trinity Kenmare Community Hospital and St Andrew's Hospital.
When was this NPI record last updated?
The NPPES record for Stacey Peterson was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stacey D Peterson · NPI 1073207569
Primary Care physician in Minot, North Dakota. Individual provider, active in the CMS NPPES registry since June 7, 2023.
## Identity
- **NPI:** 1073207569 (Entity type: Individual)
- **Enumerated:** June 7, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** R32510 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 BURDICK EXPY E, Minot, ND 58701-4768
- **Phone:** (701) 418-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trinity Health (NPI 1730233677, Minot, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073207569) · Data from the CMS NPPES public registry.