JENNIFER C PETERSON M.D.
NPI 1154586071
Pediatrics - Pediatric Critical Care Medicine in Flagstaff, AZ

Q: What is Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1154586071. It was assigned to this individual provider in the NPPES registry on July 21, 2008. The provider is also known as Jennifer C Mosher M.D..

Q: What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Peterson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 21, 2008PECOS Enrolled

1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 213-6235 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jun 24, 2025, Jul 1, 2024 and 2 more (5 updates tracked since 2016).

On this page

About Jennifer C Peterson M.d. NPPES

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

JENNIFER C PETERSON M.D. (NPI 1154586071) is an individual pediatric critical care medicine provider in Flagstaff, Arizona, licensed in Arizona (71077) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2008).

NPPES Registry Identity

NPI1154586071

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameJENNIFER C PETERSONCredential: M.D.

Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(928) 213-6235

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2008

Enumeration DateJuly 21, 2008

Last NPPES UpdateAugust 6, 20255 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1154586071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in AZ · 71077✔ Licensed in GA · 075484✔ Licensed in WI · 53734✔ Licensed in ND · 13205

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedHospitalistTaxonomy 208M00000X · License 71077 (AZ)

1200 N BEAVER ST, Flagstaff, AZ 86001

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Other Names 1

Former Name (1)Jennifer C Mosher M.d.

Secondary Practice Locations 3

Location 19003 E Shea BlvdScottsdale, AZ 85260-6709 · Phone (970) 222-0233

Location 21836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

Location 31919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-1000

Other Identifiers 1

Medicaid81315ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Medica.Insurance ›

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 C Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648497347

PECOS Enrollment IDI20250723004305

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.

DR. JEREMY NIELSEN M.D.

Anesthesiology

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

DR. SEAN DANIEL WOODS M.D.

Pediatrics (Neonatal-Perinatal Medicine)

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2112

ELIZABETH GILMORE CRNA

Nurse Anesthetist, Certified Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

TANYA LEE MORGAN TWEED RDN

Dietitian, Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 773-2441

THOMAS MATTHEW REEVE MD

Emergency Medicine

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (210) 464-7442

MS. SUSAN POMEROY BASSETT M.S.

Audiologist

1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001

Coconino County (928) 214-3728

DR. ALI I RAJA MD, MSC

Neurological Surgery

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

LEAH MARIE COFFMAN PAUL CRNA

Nurse Anesthetist, Certified Registered

1200 N BEAVER ST
FLAGSTAFF, AZ 86001

Coconino County (928) 779-3366

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 1154586071. It was assigned to this individual provider in the NPPES registry on July 21, 2008. The provider is also known as Jennifer C Mosher M.D..

Where is Jennifer Peterson located?

Jennifer Peterson practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 213-6235.

What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jennifer Peterson enrolled in Medicare?

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

What insurance does Jennifer Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Medica list Jennifer 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 Jennifer Peterson was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.