DR. CAROL BROOKE PETERSON PH.D.
NPI 1144237579
Psychologist - Clinical in Minneapolis, MN
About Dr. Carol Brooke Peterson Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAROL BROOKE PETERSON PH.D. (NPI 1144237579) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP3201) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (1993).
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
Dr. Carol Brooke Peterson Ph.d. 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
5Medicare enrollment records show Carol Peterson reassigns Medicare billing to 5 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
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: University Of Minnesota Physicians
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Carol Peterson's NPI number?
The NPI number for Carol Peterson is 1144237579. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Carol Peterson located?
Carol Peterson practices at 2450 Riverside Ave 2A West, Minneapolis, MN 55454. The listed phone number is (612) 273-8700.
What is Carol Peterson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Carol Peterson enrolled in Medicare?
Yes. Carol 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 Carol Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Peterson reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN), University Of Minnesota Pediatric Dental Clinic (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, 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 Carol Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Peterson accept?
Health plans from Sanford Health Plan list Carol 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 Carol Peterson was last updated on May 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Carol Brooke Peterson, PH.D. · NPI 1144237579
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1144237579 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** LP3201 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2450 RIVERSIDE AVE, 2A WEST, Minneapolis, MN 55454-1450
- **Phone:** (612) 273-8700 · **Fax:** (612) 273-8787
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1841428745, Minneapolis, MN); Fairview Health Services (NPI 1316008212, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); University Of Minnesota Pediatric Dental Clinic (NPI 1992075287, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1993
## Record status
- **NPPES last updated:** May 25, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1144237579) · Data from the CMS NPPES public registry.