JENNIE MICHELLE PETERSON PMHNP-BC
NPI 1144732918
Nurse Practitioner - Psychiatric/Mental Health in Beaverton, OR

Active since November 01, 2017PECOS EnrolledAccepts Medicare Assignment
14743 NW GLACIER LN, BEAVERTON, OR 97006(503) 443-8339 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Mar 17, 2018, Dec 18, 2017 and 1 more (4 updates tracked since 2017).

About Jennie Michelle Peterson Pmhnp-bc NPPES

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

JENNIE MICHELLE PETERSON PMHNP-BC (NPI 1144732918) is an individual psychiatric/mental health provider in Beaverton, Oregon, licensed in Oregon (201808713NP-PP) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1144732918
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIE MICHELLE PETERSONCredential: PMHNP-BC
Location Address14743 NW GLACIER LNBeaverton, OR 97006-5892
Mailing Address14743 Nw Glacier LnBeaverton, OR 97006-5892 · (503) 443-8339
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 1, 2017
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1144732918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OR · 201808713NP-PP
14743 NW GLACIER LN, Beaverton, OR 97006

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

Jennie Michelle Peterson Pmhnp-bc 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 ID5395004014
PECOS Enrollment IDI20250123000609
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 97006 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Jennie Peterson's NPI number?

The NPI number for Jennie Peterson is 1144732918. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Jennie Peterson located?

Jennie Peterson practices at 14743 NW Glacier Ln, Beaverton, OR 97006. The listed phone number is (503) 443-8339.

What is Jennie Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennie Peterson enrolled in Medicare?

Yes. Jennie 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 Jennie Peterson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennie 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 Jennie Peterson was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.