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JERREKA PETERSON AGACNP
NPI 1104415827
Nurse Practitioner - Acute Care in Colonial Heights, VA

Active since January 17, 2021PECOS Enrolled
524 SOUTHPARK BLVD, COLONIAL HEIGHTS, VA 23834(804) 504-7980(804) 554-5387 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2023, Mar 25, 2021, Jan 17, 2021 (3 updates tracked since 2021).

About Jerreka Peterson Agacnp NPPES

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

JERREKA PETERSON AGACNP (NPI 1104415827) is an individual acute care provider in Colonial Heights, Virginia, licensed in Virginia (0024180529) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104415827
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJERREKA PETERSONCredential: AGACNP
Location Address524 SOUTHPARK BLVDColonial Heights, VA 23834-3609
Mailing Address524 Southpark BlvdColonial Heights, VA 23834-3609 · (804) 504-7980 · Fax (804) 554-5387
Phone(804) 504-7980
Fax(804) 554-5387
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 17, 2021
Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1104415827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0024180529
524 SOUTHPARK BLVD, Colonial Heights, VA 23834
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6204226426
PECOS Enrollment IDI20211202001251
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 Reassignments

5

Medicare enrollment records show Jerreka Peterson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloom Geriatrics LLC
7.3 mi
Internal Medicine
1714 E HUNDRED RD STE 101
Chester, VA 23836
  • Reassigned Medicare billing, Virginia enrollment
  • 12 clinicians in this Medicare group
NPI 1013499623 (804) 590-6750
Emergency Medicine Associates P.A., P.C.
90 mi
Internal Medicine
501 SUNSET LN
Culpeper, VA 22701
  • Reassigned Medicare billing, Virginia enrollment
  • 1,294 clinicians in this Medicare group
NPI 1881559102 (540) 829-4100
Clark Alliance Services Inc
105 mi
Internal Medicine
2501 PARKERS LN FL 4
Alexandria, VA 22306
  • Reassigned Medicare billing, Virginia enrollment
  • 52 clinicians in this Medicare group
NPI 1952892028 (703) 664-7000
Post Acute Clinical Services PLLC
232 mi
Family Medicine
620 TOM HUNTER RD
Charlotte, NC 28213
  • Reassigned Medicare billing, Virginia enrollment
  • 9 clinicians in this Medicare group
NPI 1548061104 (704) 598-5136
Hcr Manorcare Medical Services Of Florida LLC
447 mi
Nurse Practitioner
333 N SUMMIT ST, 7TH FLOOR
Toledo, OH 43604
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1386750420 (419) 252-6018

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 23834 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 16

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

SAMANTHA N TAYLOR NP-C
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980
MRS. STACEY RENEE TROUBLEFIELD NP
Nurse Practitioner (Adult Health)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980
DR. PATRICIA JO RODGERS D.O.
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (517) 887-1713
JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK LLC
Non-Pharmacy Dispensing Site
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (305) 653-1770
DR. HAMERE B. MEKONNEN MD
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (713) 674-3326
ELIZABETH ANN EDWARDS FNP-BC
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980
MISS MONRELLE INEZ PARRISH
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980
ERICKA S. YOUNG D.O
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Colonial Heights City (804) 504-7980

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 Jerreka Peterson's NPI number?

The NPI number for Jerreka Peterson is 1104415827. It was assigned to this individual provider in the NPPES registry on January 17, 2021.

Where is Jerreka Peterson located?

Jerreka Peterson practices at 524 Southpark Blvd, Colonial Heights, VA 23834. The listed phone number is (804) 504-7980.

What is Jerreka Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jerreka Peterson enrolled in Medicare?

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

Which organizations bill Medicare for Jerreka Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerreka Peterson reassigns Medicare benefits to 5 organizations: Bloom Geriatrics LLC (Chester, VA), Emergency Medicine Associates P.A., P.C. (Culpeper, VA), Clark Alliance Services Inc (Alexandria, VA), Post Acute Clinical Services PLLC (Charlotte, NC) and Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH). Each 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 Jerreka Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerreka Peterson accept?

Health plans from Oscar Health list Jerreka 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 Jerreka Peterson was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.