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JENNIFER ANN PETERSON
NPI 1124822697
Nurse Practitioner - Acute Care in San Diego, CA

Active since April 03, 2025PECOS Enrolled
3075 HEALTH CENTER DR STE 400, SAN DIEGO, CA 92123(858) 939-3831 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Apr 3, 2025 (2 updates tracked since 2025).

About Jennifer Ann Peterson NPPES

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

JENNIFER ANN PETERSON (NPI 1124822697) is an individual acute care provider in San Diego, California, licensed in California (95030994) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124822697
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER ANN PETERSON
Location Address3075 HEALTH CENTER DR STE 400San Diego, CA 92123-2773
Mailing Address3075 Health Center Dr Ste 400San Diego, CA 92123-2773 · (858) 939-3831
Phone(858) 939-3831
Sole ProprietorNo
Enumeration DateApril 3, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1124822697 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 CA · 95030994
3075 HEALTH CENTER DR STE 400, San Diego, CA 92123
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Ann Peterson 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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELICITY NGA YING FUNG NP
Nurse Practitioner
3075 HEALTH CENTER DR STE 400
SAN DIEGO, CA 92123
San Diego County (858) 939-3831
JEFFREY HAWKINS FNP-BC
Nurse Practitioner (Family)
3075 HEALTH CENTER DR STE 400
SAN DIEGO, CA 92123
San Diego County (858) 939-5864

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 Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1124822697. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Jennifer Peterson located?

Jennifer Peterson practices at 3075 Health Center Dr Ste 400, San Diego, CA 92123. The listed phone number is (858) 939-3831.

What is Jennifer Peterson's specialty?

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

Is Jennifer Peterson enrolled in Medicare?

Yes. Jennifer Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Peterson was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.