MELISSA ANNE PETERSON RN, MSN, NP
NPI 1083028930
Nurse Practitioner - Pediatrics in Los Angeles, CA

Q: What is Melissa Peterson's NPI number?

The NPI number for Melissa Peterson is 1083028930. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Q: What is Melissa Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Peterson was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2014PECOS Enrolled

300 UCLA MEDICAL PLZ STE 3100, LOS ANGELES, CA 90095(310) 206-6581(310) 206-8616 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2026, Apr 13, 2026, May 5, 2022 and 1 more (4 updates tracked since 2020).

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About Melissa Anne Peterson Rn, Msn, Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA ANNE PETERSON RN, MSN, NP (NPI 1083028930) is an individual pediatrics provider in Los Angeles, California, licensed in California (95000725) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083028930

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMELISSA ANNE PETERSONCredential: RN, MSN, NP

Location Address300 UCLA MEDICAL PLZ STE 3100Los Angeles, CA 90095-8346

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707

Phone(310) 206-6581

Fax(310) 206-8616

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 19, 2014

Last NPPES UpdateJuly 17, 20264 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1083028930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95000725

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 95000725 (CA)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95000725 (CA)

300 UCLA MEDICAL PLZ STE 3100, Los Angeles, CA 90095

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Secondary Practice Locations 2

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 361-4148 · Fax (323) 361-3668

Location 2301 N Prairie Ave Ste 510Inglewood, CA 90301-4512 · Phone (213) 260-1239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Anne Peterson Rn, Msn, Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204195878

PECOS Enrollment IDI20260702000703

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.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents

Same address

Pediatrics

200 UCLA MEDICAL PLAZA, SUITE 265
Los Angeles, CA 90095

Reassigned Medicare billing, California enrollment
323 clinicians in this Medicare group

NPI 1982667663 (310) 825-0867

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSE ANDRES MORALES CORADO MD

Medical Genetics (Clinical Genetics (M.D.))

300 UCLA MEDICAL PLZ STE 3100
LOS ANGELES, CA 90095

Los Angeles County (310) 206-6581

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 Melissa Peterson's NPI number?

The NPI number for Melissa Peterson is 1083028930. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Melissa Peterson located?

Melissa Peterson practices at 300 Ucla Medical Plz Ste 3100, Los Angeles, CA 90095. The listed phone number is (310) 206-6581.

What is Melissa Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Melissa Peterson enrolled in Medicare?

Yes. Melissa Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Peterson reassigns Medicare benefits to Uc Regents (Los Angeles, CA). 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 Melissa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melissa Peterson was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.