SUZY E PETERSON DO
NPI 1114961372
Psychiatry & Neurology - Child & Adolescent Psychiatry in Minneapolis, MN
About Suzy E Peterson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUZY E PETERSON DO (NPI 1114961372) is an individual child & adolescent psychiatry provider in Minneapolis, Minnesota, licensed in Minnesota (45096) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Suzy E Peterson Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Suzy Peterson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
St Paul, MN 55116
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Suzy Peterson's NPI number?
The NPI number for Suzy Peterson is 1114961372. It was assigned to this individual provider in the NPPES registry on June 16, 2006.
Where is Suzy Peterson located?
Suzy Peterson practices at 2450 Riverside Ave, Minneapolis, MN 55454. The listed phone number is (612) 672-6000.
What is Suzy Peterson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Suzy Peterson enrolled in Medicare?
Yes. Suzy 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.
Which organizations bill Medicare for Suzy Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suzy Peterson reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Highland Psychiatric Services PA (St Paul, MN). 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 Suzy Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suzy Peterson accept?
Health plans from HealthPartners and Sanford Health Plan list Suzy Peterson 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 Suzy Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Suzy E Peterson, DO · NPI 1114961372
Child & Adolescent Psychiatry physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1114961372 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 45096 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2450 RIVERSIDE AVE, Minneapolis, MN 55454-1512
- **Phone:** (612) 672-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Highland Psychiatric Services PA (NPI 1891884326, St Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2006
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1114961372) · Data from the CMS NPPES public registry.