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KERRY LYNN PETERSEN APRN
NPI 1114231362
Nurse Practitioner in Omaha, NE

Active since July 29, 2010PECOS Enrolled
987440 NEBRASKA MEDICAL CTR, NEONATAL INTENSIVE CARE UNIT, OMAHA, NE 68198(402) 559-4442 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kerry Lynn Petersen Aprn NPPES

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

KERRY LYNN PETERSEN APRN (NPI 1114231362) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (11154) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114231362
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKERRY LYNN PETERSENCredential: APRN
Location Address987440 NEBRASKA MEDICAL CTR, NEONATAL INTENSIVE CARE UNITOmaha, NE 68198-7740
Mailing Address1520 N 185th StElkhorn, NE 68022-3834 · (402) 578-4965
Phone(402) 559-4442
Sole ProprietorNo
Enumeration DateJuly 29, 2010
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1114231362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NE · 11154
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.
987440 NEBRASKA MEDICAL CTR, Omaha, NE 68198
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Lynn Petersen Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Kerry Petersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Unmc Physicians
Same address
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739
Nebraska Methodist Hospital
7.1 mi
Emergency Medicine
8303 DODGE ST
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 239 clinicians in this Medicare group
NPI 1689628372 (402) 354-4000
Chi Health Clinic Specialty, LLC
41 mi
Hospitalist
555 S 70TH ST
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 525 clinicians in this Medicare group
NPI 1285138065 (402) 219-8000

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 68198 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

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 Kerry Petersen's NPI number?

The NPI number for Kerry Petersen is 1114231362. It was assigned to this individual provider in the NPPES registry on July 29, 2010.

Where is Kerry Petersen located?

Kerry Petersen practices at 987440 Nebraska Medical Ctr Neonatal Intensive Care Unit, Omaha, NE 68198. The listed phone number is (402) 559-4442.

What is Kerry Petersen's specialty?

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

Is Kerry Petersen enrolled in Medicare?

Yes. Kerry Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kerry Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Petersen reassigns Medicare benefits to 3 organizations: Unmc Physicians (Omaha, NE), Nebraska Methodist Hospital (Omaha, NE) and Chi Health Clinic Specialty, LLC (Lincoln, NE). 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 Kerry Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kerry Petersen accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Kerry Petersen 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 Kerry Petersen was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.