MS. PENNY PETERSEN
NPI 1114907979
Nurse Practitioner in Mitchell, SD
About Ms. Penny Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. PENNY PETERSEN (NPI 1114907979) is an individual nurse practitioner in Mitchell, South Dakota, licensed in South Dakota (000437) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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 (PECOS)
Ms. Penny Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Penny Petersen's NPI number?
The NPI number for Penny Petersen is 1114907979. It was assigned to this individual provider in the NPPES registry on January 18, 2006.
Where is Penny Petersen located?
Penny Petersen practices at 525 N Foster St, Mitchell, SD 57301. The listed phone number is (605) 995-2000.
What is Penny Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Penny Petersen enrolled in Medicare?
Yes. Penny Petersen is registered in the Medicare PECOS enrollment system.
What insurance does Penny Petersen accept?
Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Penny 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 Penny Petersen was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Penny Petersen · NPI 1114907979
Nurse Practitioner physician in Mitchell, South Dakota. Individual provider, active in the CMS NPPES registry since January 18, 2006.
## Identity
- **NPI:** 1114907979 (Entity type: Individual)
- **Enumerated:** January 18, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 000437 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 N FOSTER ST, Mitchell, SD 57301-2966
- **Phone:** (605) 995-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 26, 2010
- **Other identifiers:** Medicaid 6831840 (SD); Other S1639 (SD)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114907979) · Data from the CMS NPPES public registry.