DR. NAOMI GLENN PETERSON DNP, ACNPC-AG
NPI 1114755428
Nurse Practitioner - Acute Care in Washington, DC

Active since July 26, 2024PECOS EnrolledAccepts Medicare Assignment
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-7000 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Jul 26, 2024 (2 updates tracked since 2024).

About Dr. Naomi Glenn Peterson Dnp, Acnpc-ag NPPES

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

DR. NAOMI GLENN PETERSON DNP, ACNPC-AG (NPI 1114755428) is an individual acute care provider in Washington, District Of Columbia, licensed in District Of Columbia (NP1050063) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114755428
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. NAOMI GLENN PETERSONCredential: DNP, ACNPC-AG
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address3317 16th St Nw Apt 1Washington, DC 20010-2201 · (515) 450-8875
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 26, 2024
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1114755428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in DC · NP1050063
110 IRVING ST NW, Washington, DC 20010

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

Dr. Naomi Glenn Peterson Dnp, Acnpc-ag 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 ID1153847207
PECOS Enrollment IDI20250501000912
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 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010

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 Naomi Peterson's NPI number?

The NPI number for Naomi Peterson is 1114755428. It was assigned to this individual provider in the NPPES registry on July 26, 2024.

Where is Naomi Peterson located?

Naomi Peterson practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-7000.

What is Naomi Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Naomi Peterson enrolled in Medicare?

Yes. Naomi Peterson 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.

When was this NPI record last updated?

The NPPES record for Naomi Peterson was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.