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MRS. MADISON GREY PETERSON APRN-CNP
NPI 1174412746
Nurse Practitioner - Family in Longmont, CO

Active since June 30, 2025
205 S MAIN ST, LONGMONT, CO 80501(303) 702-1612 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Madison Grey Peterson Aprn-cnp NPPES

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

MRS. MADISON GREY PETERSON APRN-CNP (NPI 1174412746) is an individual family provider in Longmont, Colorado, licensed in Colorado (C-APN.0103548) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1174412746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MADISON GREY PETERSONCredential: APRN-CNP
Location Address205 S MAIN STLongmont, CO 80501-1716
Mailing Address110 Main St Unit 1202Longmont, CO 80501-6046 · (330) 507-5221
Phone(303) 702-1612
Sole ProprietorYes
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1174412746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · C-APN.0103548
205 S MAIN ST, Longmont, CO 80501
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Other Providers at the Same Location NPPES 19

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

WORKWELL OCCUPATIONAL MEDICINE
Clinic/Center (Occupational Medicine)
205 S MAIN ST
LONGMONT, CO 80501
Boulder County (303) 702-1612
JOHN CHRISTOPHER FUESTON M.D.
Dermatology
205 S MAIN ST, SUITE E
LONGMONT, CO 80501
Boulder County (303) 485-8913
MRS. DIANE PATRICIA SMITH NURSE PRACTITIONER
Nurse Practitioner (Family)
205 S MAIN ST, SUITE B
LONGMONT, CO 80501
Boulder County (303) 772-6244
MR. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
Specialist/Technologist (Athletic Trainer)
205 S MAIN ST, SUITE C
LONGMONT, CO 80501
Boulder County (303) 684-9525
MOHAMMAD KARBASSI M.D.
Ophthalmology
205 S MAIN ST, SUITE D
LONGMONT, CO 80501
Boulder County (303) 772-3611
NATHANIEL FOSTER PTA
Physical Therapy Assistant
205 S MAIN ST, SUITE C
LONGMONT, CO 80501
Boulder County (303) 702-1612
JOHN PETER MARS MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
205 S MAIN ST, SUITE C
LONGMONT, CO 80501
Boulder County (303) 702-1612
HOUSE CALL PHYSICIANS, PC
Family Medicine (Geriatric Medicine)
205 S MAIN ST, SUITE C
LONGMONT, CO 80501
Boulder County (303) 579-5466

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 Madison Peterson's NPI number?

The NPI number for Madison Peterson is 1174412746. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Madison Peterson located?

Madison Peterson practices at 205 S Main St, Longmont, CO 80501. The listed phone number is (303) 702-1612.

What is Madison Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Madison Peterson was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.