LENNETT PETERSEN APRN
NPI 1104425073
Nurse Practitioner in Anchorage, AK

Q: What is Lennett Petersen's NPI number?

The NPI number for Lennett Petersen is 1104425073. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Q: What is Lennett Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lennett Petersen was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 October 21, 2020PECOS EnrolledAccepts Medicare Assignment

3801 LAKE OTIS PKWY STE 300, ANCHORAGE, AK 99508(907) 562-2277(907) 563-3460 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Oct 21, 2020 (2 updates tracked since 2020).

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About Lennett Petersen Aprn NPPES

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

LENNETT PETERSEN APRN (NPI 1104425073) is an individual nurse practitioner in Anchorage, Alaska, licensed in Alaska (166918) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104425073

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLENNETT PETERSENCredential: APRN

Location Address3801 LAKE OTIS PKWY STE 300Anchorage, AK 99508-5234

Mailing Address3801 Lake Otis Pkwy Ste 300Anchorage, AK 99508-5234 · (907) 562-2277 · Fax (907) 563-3460

Phone(907) 562-2277

Fax(907) 563-3460

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 21, 2020

Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1104425073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AK · 166918

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 38066 (AK)

3801 LAKE OTIS PKWY STE 300, Anchorage, AK 99508

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Secondary Practice Locations 3

Location 13200 Providence DrAnchorage, AK 99508-4615 · Phone (907) 854-9333

Location 210928 Eagle River Rd Ste 240Eagle River, AK 99577-8080 · Phone (907) 562-2277 · Fax (907) 563-3460

Location 37010 E Bogard Rd Bldg 2Wasilla, AK 99654-4711 · Phone (907) 373-4732

Other Identifiers 1

Medicaid1721224AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Lennett Petersen Aprn 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 ID3577972496

PECOS Enrollment IDI20210505002830

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

179 services131 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

44 services41 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

41 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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 20

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

JEFFREY ROBERT HARTZELL PA-C

Physician Assistant (Medical)