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

NPI Status: Active since January 17, 2021

Contact Information

524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA
ZIP 23834
Phone: (804) 504-7980
Fax: (804) 554-5387

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  • Individual
  • Female
  • Nurse Practitioner
  • Acute Care
  • PECOS Enrolled

About JERREKA PETERSON

This page provides the complete NPI Profile along with additional information for Jerreka Peterson, a provider established in Colonial Heights, Virginia with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1104415827 assigned on January 2021. The practitioner's primary taxonomy code is 363LA2100X with license number 0024180529 (VA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1104415827
Provider Name
JERREKA PETERSON AGACNP
Gender
Female
Entity Type
Individual
Location Address
524 SOUTHPARK BLVD COLONIAL HEIGHTS, VA 23834
Location Phone
(804) 504-7980
Location Fax
(804) 554-5387
Mailing Address
524 SOUTHPARK BLVD COLONIAL HEIGHTS, VA 23834
Mailing Phone
(804) 504-7980
Mailing Fax
(804) 554-5387
Is Sole Proprietor?
No
Enumeration Date
01-17-2021
Last Update Date
09-23-2025
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A nurse practitioner (NP) like Jerreka Peterson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0024180529
License State
VA

Medicare Participation & PECOS Enrollment Status

Jerreka Peterson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up nursing facility visit per day, typically 15 minutes

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

This service was performed 44 times for 18 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 75 times for 25 patients

Follow-up nursing facility visit per day, typically 35 minutes

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

This service was performed 16 times for 14 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 18 times for 17 patients

Initial hospital observation care per day, typically 70 minutes

This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 23834 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.19
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14.04
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.13
  • Minimum Established Patient Price $18.07
  • Maximum Established Patient Price $138.91
  • Average Established Patient Copayment $24.78
  • Minimum Established Patient Copayment $4.51
  • Maximum Established Patient Copayment $34.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104415827, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 8 + 1 + 1 + 0 + 8 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104415827.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Acupuncturist
524 SOUTHPARK BLVD, JENCARE NEIGHBORHOOD MEDICAL SOUTH PARK, LLC
COLONIAL HEIGHTS, VA 23834
Podiatrist
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Internal Medicine (Cardiovascular Disease)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Adult Health)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Family Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Non-Pharmacy Dispensing Site
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Nurse Practitioner (Family)
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834
Internal Medicine
524 SOUTHPARK BLVD
COLONIAL HEIGHTS, VA 23834

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104415827, enumerated as an "individual" on January 17, 2021.

The provider is located at 524 SOUTHPARK BLVD COLONIAL HEIGHTS, VA 23834 and the phone number is (804) 504-7980.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.