Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROBERT G PETERSEN JR. PARAMEDIC
NPI 1174427447
Emergency Medical Technician, Paramedic in West St Paul, MN

Active since October 07, 2026
1139 KRUSE ST, WEST ST PAUL, MN 55118(520) 305-1184 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Robert G Petersen Jr. Paramedic NPPES

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

ROBERT G PETERSEN JR. PARAMEDIC (NPI 1174427447) is an individual emergency medical technician, paramedic in West St Paul, Minnesota, licensed in Minnesota (M5193303) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1174427447
Entity TypeIndividualMale
Primary Taxonomy146L00000X
Provider Legal NameROBERT G PETERSEN JR.Credential: PARAMEDIC
Location Address1139 KRUSE STWest St Paul, MN 55118-2506
Mailing Address1139 Kruse StWest St Paul, MN 55118-2506 · (520) 305-1184
Sole ProprietorNo
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1174427447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medical Technician, ParamedicEmergency Medical Service Providers
Taxonomy Code146L00000X
License✔ Licensed in MN · M5193303
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
1139 KRUSE ST, West St Paul, MN 55118

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 Robert Petersen's NPI number?

The NPI number for Robert Petersen is 1174427447. It was assigned to this individual provider in the NPPES registry on October 7, 2026.

Where is Robert Petersen located?

Robert Petersen practices at 1139 Kruse St, West St Paul, MN 55118. The listed phone number is (520) 305-1184.

What is Robert Petersen's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Paramedic with taxonomy code 146L00000X.

When was this NPI record last updated?

The NPPES record for Robert Petersen was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.