STEPHANIE LYNN PETERSEN FNP
NPI 1114249810
Nurse Practitioner - Family in Charleston, SC

Q: What is Stephanie Petersen's NPI number?

The NPI number for Stephanie Petersen is 1114249810. It was assigned to this individual provider in the NPPES registry on February 22, 2010. The provider is also known as Stephanie Lynn Hughes Fnp.

Q: What is Stephanie Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 22, 2010PECOS Enrolled

171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 28, 2018, Nov 5, 2018, Aug 6, 2018 (3 updates tracked since 2018).

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About Stephanie Lynn Petersen Fnp NPPES

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

STEPHANIE LYNN PETERSEN FNP (NPI 1114249810) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (22348) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114249810

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTEPHANIE LYNN PETERSENCredential: FNP

Location Address171 ASHLEY AVECharleston, SC 29425-0100

Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200

Phone(843) 792-1414

Sole ProprietorNo

Enumeration DateFebruary 22, 2010

Last NPPES UpdateNovember 28, 20183 updates tracked since enumeration

✔ NPI 1114249810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in SC · 22348✔ Licensed in WA · AP60633476

171 ASHLEY AVE, Charleston, SC 29425

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Other Names 1

Former Name (1)Stephanie Lynn Hughes Fnp

Other Identifiers 2

Medicaid2038729WA

Medicaid500672839OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Lynn Petersen Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

CAROLYN REED WORD M.D.

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