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DR. ANDREA MARIE PETERS D.D.S
NPI 1154557932
Dentist - General Practice in Saint Charles, MN

Active since June 07, 2009Opted out of Medicare · through Sep 15, 2027
931 WHITEWATER AVE, SAINT CHARLES, MN 55972(507) 932-4530 Get Directions Write a Review

NPPES record last updated: June 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Marie Peters D.d.s NPPES

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

DR. ANDREA MARIE PETERS D.D.S (NPI 1154557932) is an individual general practice provider in Saint Charles, Minnesota, licensed in Minnesota (D12702) and active in the NPI registry since June 2009. She has opted out of Medicare through September 15, 2027.

NPPES Registry Identity

NPI1154557932
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREA MARIE PETERSCredential: D.D.S
Location Address931 WHITEWATER AVESaint Charles, MN 55972-1130
Mailing Address931 Whitewater AveSaint Charles, MN 55972-1130 · (507) 932-4530
Phone(507) 932-4530
Sole ProprietorNo
Enumeration DateJune 7, 2009
✔ NPI 1154557932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D12702
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
931 WHITEWATER AVE, Saint Charles, MN 55972
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrea Marie Peters D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 15, 2017 through September 15, 2027.

Opt-Out Effective DateSeptember 15, 2017
Opt-Out In Effect ThroughSeptember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MODERN DENTAL PROFESSIONALS, MINNESOTA PC
Dentist
931 WHITEWATER AVE
SAINT CHARLES, MN 55972
Winona County (507) 932-4530

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 Andrea Peters's NPI number?

The NPI number for Andrea Peters is 1154557932. It was assigned to this individual provider in the NPPES registry on June 7, 2009.

Where is Andrea Peters located?

Andrea Peters practices at 931 Whitewater Ave, Saint Charles, MN 55972. The listed phone number is (507) 932-4530.

What is Andrea Peters's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrea Peters enrolled in Medicare?

No. Andrea Peters has opted out of Medicare through September 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrea Peters was last updated on June 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.