STACEY D PETERSON
NPI 1073207569
Nurse Practitioner - Primary Care in Minot, ND

Active since June 07, 2023PECOS EnrolledAccepts Medicare Assignment
400 BURDICK EXPY E, MINOT, ND 58701(701) 418-8000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2024, Jun 7, 2023 (2 updates tracked since 2023).

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

NPI1073207569
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSTACEY D PETERSON
Location Address400 BURDICK EXPY EMinot, ND 58701-4768
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 7, 2023
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1073207569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in ND · R32510
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R32510 (ND)
400 BURDICK EXPY E, Minot, ND 58701

Secondary Practice Locations 2

Location 11500 24th Ave SWMinot, ND 58701-6905 · Phone (701) 857-5343
Location 22305 37th Ave SWMinot, ND 58701-7669 · Phone (701) 418-8000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5294196754
PECOS Enrollment IDI20230731002660
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
480 services229 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Trinity Kenmare Community Hospital

Critical Access Hospitals · Kenmare, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351305
LocationPO Box 697Kenmare, ND 58746 · Ward County
Emergency services

Physician 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.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
400 BURDICK EXPY E
MINOT, ND 58701
Physical Medicine & Rehabilitation
400 BURDICK EXPY E
MINOT, ND 58701
Nurse Practitioner (Family)
400 BURDICK EXPY E
MINOT, ND 58701
Nurse Practitioner (Family)
400 BURDICK EXPY E
MINOT, ND 58701
Nurse Practitioner (Family)
400 BURDICK EXPY E
MINOT, ND 58701
Family Medicine
400 BURDICK EXPY E
MINOT, ND 58701
Pharmacist
400 BURDICK EXPY E
MINOT, ND 58701
Internal Medicine (Gastroenterology)
400 BURDICK EXPY E
MINOT, ND 58701

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.

What insurance does Stacey Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica 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 and Trinity Kenmare Community Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Peterson was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.