MS. CORIE PETERSON NP
NPI 1104352582
Nurse Practitioner - Family in Grosse Pointe, MI

Q: What is Corie Peterson's NPI number?

The NPI number for Corie Peterson is 1104352582. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Q: What is Corie Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Corie Peterson was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment

16815 E JEFFERSON AVE STE 120, GROSSE POINTE, MI 48230(586) 498-4400 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 30, 2023, Nov 12, 2020, Apr 19, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Corie Peterson Np NPPES

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

MS. CORIE PETERSON NP (NPI 1104352582) is an individual family provider in Grosse Pointe, Michigan, licensed in Michigan (4704399838) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and maintains a secondary practice location in Independence.

NPPES Registry Identity

NPI1104352582

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CORIE PETERSONCredential: NP

Location Address16815 E JEFFERSON AVE STE 120Grosse Pointe, MI 48230-1923

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1848

Phone(586) 498-4400

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 4, 2017

Last NPPES UpdateOctober 30, 20234 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1104352582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in MI · 4704399838✔ Licensed in OH · APRN.CNP.020746

16815 E JEFFERSON AVE STE 120, Grosse Pointe, MI 48230

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Secondary Practice Location 1

Location 14401 Rockside Rd Ste 214Independence, OH 44131-2147 · Phone (330) 626-1113 · Fax (330) 626-1133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ms. Corie Peterson Np 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 ID941577456

PECOS Enrollment IDI20230508000469

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 15

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

ELIZABETH GAIL BLUNDEN MD

Obstetrics & Gynecology