SUZY E PETERSON DO
NPI 1114961372
Psychiatry & Neurology - Child & Adolescent Psychiatry in Minneapolis, MN

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1114961372
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSUZY E PETERSONCredential: DO
Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1512
Mailing Address2353 Youngman AveSaint Paul, MN 55116-3021
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2006
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1114961372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in MN · 45096
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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 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.

PECOS PAC ID6103822416
PECOS Enrollment IDI20061010000450
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.

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.

Rehabilitation Practitioner
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Pediatrics
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine (Geriatric Medicine)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Dietitian, Registered
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Practitioner (Pediatrics, Critical Care)
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Internal Medicine
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Physician Assistant
2450 RIVERSIDE AVE
MINNEAPOLIS, MN 55454
Nurse Anesthetist, Certified Registered
2450 RIVERSIDE AVE
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.

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 with the weekly NPPES data releases published by CMS.