ALEX D. PETERSON FNP-C
NPI 1184513103
Nurse Practitioner in Mankato, MN

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2025, Jul 2, 2025 (2 updates tracked since 2025).

About Alex D. Peterson Fnp-c NPPES

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

ALEX D. PETERSON FNP-C (NPI 1184513103) is an individual nurse practitioner in Mankato, Minnesota, licensed in Minnesota (13016) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System In Red Wing, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1184513103
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEX D. PETERSONCredential: FNP-C
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 2, 2025
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1184513103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 13016
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1025 MARSH ST, Mankato, MN 56001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alex D. Peterson Fnp-c 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 ID2961907175
PECOS Enrollment IDI20250926002039
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Alex Peterson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1025 MARSH ST
Mankato, MN 56001
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740256668 (Minnesota), NPI 1124035282 (Minnesota)
  • 1,572 clinicians in this Medicare group
Critical Access
1101 MOULTON AND PARSONS DR
Saint James, MN 56081
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1023177730 (Minnesota)
  • 390 clinicians in this Medicare group
Multi-Specialty
2200 NW 26TH ST
Owatonna, MN 55060
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1063435410 (Minnesota)
  • 1,571 clinicians in this Medicare group
Multi-Specialty
800 MEDICAL CENTER DR
Fairmont, MN 56031
  • Reassigned Medicare billing, Minnesota enrollment
  • 806 clinicians in this Medicare group
Critical Access
500 W GRANT ST
Lake City, MN 55041
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1164463659 (Minnesota)
  • 675 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240018
Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County
Emergency services Birthing friendly

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240043
Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County
Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Mayo Clinic Health System New Prague

Critical Access Hospitals · New Prague, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241361
Location301 2nd Street NortheastNew Prague, MN 56071 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

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 Alex Peterson's NPI number?

The NPI number for Alex Peterson is 1184513103. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Alex Peterson located?

Alex Peterson practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Alex Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alex Peterson enrolled in Medicare?

Yes. Alex 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.

Which organizations bill Medicare for Alex Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Peterson reassigns Medicare benefits to 5 organizations: Mayo Clinic Health System-Southwest Minnesota Region (Mankato, MN), Mayo Clinic Health System-St James (Saint James, MN), Mayo Clinic Health System-Southeast Minnesota Region (Owatonna, MN), Mayo Clinic Health System-Fairmont (Fairmont, MN) and Mayo Clinic Health System-Lake City (Lake City, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alex Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alex Peterson affiliated with any hospitals?

According to CMS data, Alex Peterson is affiliated with Mayo Clinic Health System In Red Wing, Mayo Clinic Health System - Albert Lea And Austin, Mayo Clinic Health System - Mankato, Mayo Clinic Health System - Fairmont and Mayo Clinic Health System New Prague.

When was this NPI record last updated?

The NPPES record for Alex Peterson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.