JENNIFER PETERSEN-GOLDSPIEL M.D.
NPI 1104821974
Internal Medicine - Cardiovascular Disease in Bloomington, IN

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
1312 W. ARCH HAVEN AVENUE, BLOOMINGTON, IN 47403(812) 676-4144(812) 339-8344 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Petersen-goldspiel M.d. NPPES

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

JENNIFER PETERSEN-GOLDSPIEL M.D. (NPI 1104821974) is an individual cardiovascular disease provider in Bloomington, Indiana, licensed in Indiana (01059768A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Rush Medical College Of Rush University (1993).

NPPES Registry Identity

NPI1104821974
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameJENNIFER PETERSEN-GOLDSPIELCredential: M.D.
Location Address1312 W. ARCH HAVEN AVENUEBloomington, IN 47403
Mailing AddressPo Box 1329Bloomington, IN 47402 · (812) 353-3087
Fax(812) 339-8344
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1993
Enumeration DateJune 16, 2005
Last NPPES UpdateMay 17, 2016
NPI 1104821974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IN · 01059768A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1312 W. ARCH HAVEN AVENUE, Bloomington, IN 47403

Other Names 1

Former Name (1)Jennifer Petersen M.d.

Other Identifiers 3

Medicare UPING93473
Medicare PIN090540126IN
Medicaid200495150IN

Accepted 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

Jennifer Petersen-goldspiel M.d. 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 ID1850383225
PECOS Enrollment IDI20041006001105
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 29

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,853 services1,426 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
591 services579 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.
373 services300 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services72 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.
101 services73 patients
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.
88 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Indiana University Health Paoli Hospital

Critical Access Hospitals · Paoli, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151306
Location642 W Hospital RdPaoli, IN 47454 · Orange County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.14 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Interventional Cardiology)
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Internal Medicine (Cardiovascular Disease)
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Internal Medicine (Interventional Cardiology)
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Physician Assistant
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Physician Assistant
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Internal Medicine (Cardiovascular Disease)
1312 W. ARCH HAVEN AVENUE
BLOOMINGTON, IN 47403
Internal Medicine (Interventional Cardiology)
1312 W. ARCH HAVEN AVENUE, SUITE A
BLOOMINGTON, IN 47403

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 Jennifer Petersen-goldspiel's NPI number?

The NPI number for Jennifer Petersen-goldspiel is 1104821974. It was assigned to this individual provider in the NPPES registry on June 16, 2005. The provider is also known as Jennifer Petersen M.D..

Where is Jennifer Petersen-goldspiel located?

Jennifer Petersen-goldspiel practices at 1312 W. Arch Haven Avenue, Bloomington, IN 47403. The listed phone number is (812) 676-4144.

What is Jennifer Petersen-goldspiel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jennifer Petersen-goldspiel enrolled in Medicare?

Yes. Jennifer Petersen-goldspiel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Petersen-goldspiel accept?

Health plans from CareSource and UnitedHealthcare list Jennifer Petersen-goldspiel 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.

Is Jennifer Petersen-goldspiel affiliated with any hospitals?

According to CMS data, Jennifer Petersen-goldspiel is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Columbus Regional Hospital, Indiana University Health Paoli Hospital and Indiana University Health Bedford Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Petersen-goldspiel was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.