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STACY PETERSON
NPI 1093444804
Dentist in Erie, CO

Active since June 07, 2022PECOS Enrolled
1927 COLORADO STATE HWY 7, SUITE 101, ERIE, CO 80516(720) 874-9039 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 31, 2022, Aug 25, 2022, Jun 7, 2022 (3 updates tracked since 2022).

About Stacy Peterson NPPES

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

STACY PETERSON (NPI 1093444804) is an individual dentist in Erie, Colorado, licensed in Colorado (DEN.00205330) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093444804
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSTACY PETERSON
Location Address1927 COLORADO STATE HWY 7, SUITE 101Erie, CO 80516
Mailing Address11605 Destination Dr Apt 5404Broomfield, CO 80021-4793 · (701) 426-9415
Phone(720) 874-9039
Sole ProprietorNo
Enumeration DateJune 7, 2022
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1093444804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · DEN.00205330
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1927 COLORADO STATE HWY 7, Erie, CO 80516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Stacy Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sunrise Community Health
1.3 mi
Federally Qualified Health Center (FQHC)
1010 A ST
Greeley, CO 80631
  • Reassigned Medicare billing, Colorado enrollment
  • 40 clinicians in this Medicare group
NPI 1205236072 (970) 313-0400

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 80516 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

ERIE MODERN DENTISTRY, LLP
Dentist
1927 COLORADO STATE HWY 7, SUITE 101
ERIE, CO 80516
Weld County (720) 874-9039

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 Stacy Peterson's NPI number?

The NPI number for Stacy Peterson is 1093444804. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Stacy Peterson located?

Stacy Peterson practices at 1927 Colorado State Hwy 7 Suite 101, Erie, CO 80516. The listed phone number is (720) 874-9039.

What is Stacy Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Stacy Peterson enrolled in Medicare?

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

Which organization bills Medicare for Stacy Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Peterson reassigns Medicare benefits to Sunrise Community Health (Greeley, CO). 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 Stacy Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Stacy 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.

When was this NPI record last updated?

The NPPES record for Stacy Peterson was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.