DR. JERRIN PETER MD
NPI 1104672708
Student in an Organized Health Care Education/Training Program in Gainesville, FL
About Dr. Jerrin Peter Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRIN PETER MD (NPI 1104672708) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Stony Brook.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jerrin Peter Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
GAINESVILLE, FL 32606
GAINESVILLE, FL 32606
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 Jerrin Peter's NPI number?
The NPI number for Jerrin Peter is 1104672708. It was assigned to this individual provider in the NPPES registry on April 25, 2024.
Where is Jerrin Peter located?
Jerrin Peter practices at 4101 NW 89th Blvd, Gainesville, FL 32606. The listed phone number is (352) 265-5481.
What is Jerrin Peter's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jerrin Peter enrolled in Medicare?
Yes. Jerrin Peter is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jerrin Peter was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Dr. Jerrin Peter, MD · NPI 1104672708
Student in an Organized Health Care Education/Training Program provider in Gainesville, Florida. Individual provider, active in the CMS NPPES registry since April 25, 2024.
## Identity
- **NPI:** 1104672708 (Entity type: Individual)
- **Enumerated:** April 25, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4101 NW 89TH BLVD, Gainesville, FL 32606-3813
- **Phone:** (352) 265-5481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104672708) · Data from the CMS NPPES public registry.