ANDRIA JO PETERSEN NP-C
NPI 1194280156
Nurse Practitioner - Psychiatric/Mental Health in Sioux Falls, SD

Q: What is Andria Petersen's NPI number?

The NPI number for Andria Petersen is 1194280156. It was assigned to this individual provider in the NPPES registry on February 4, 2019. The provider is also known as Andria Jo Homan.

Q: What is Andria Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Andria Petersen was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 04, 2019PECOS EnrolledAccepts Medicare Assignment

77.99/100

CMS Quality Rating

2400 W 49TH ST, SIOUX FALLS, SD 57105(605) 312-8700(605) 312-8700 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2019, Feb 4, 2019 (2 updates tracked since 2019).

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About Andria Jo Petersen Np-c NPPES

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

ANDRIA JO PETERSEN NP-C (NPI 1194280156) is an individual psychiatric/mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001529) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194280156

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDRIA JO PETERSENCredential: NP-C

Location Address2400 W 49TH STSioux Falls, SD 57105-6581

Mailing Address2400 W 49th StSioux Falls, SD 57105-6581 · (605) 312-8700 · Fax (605) 312-8700

Phone(605) 312-8700

Fax(605) 312-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 4, 2019

Last NPPES UpdateJune 10, 20192 updates tracked since enumeration

✔ NPI 1194280156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SD · CP001529

Also ListedNurse PractitionerTaxonomy 363L00000X · License CP001529 (SD)

2400 W 49TH ST, Sioux Falls, SD 57105

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Other Names 1

Former Name (1)Andria Jo Homan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andria Jo Petersen Np-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 ID8426397308

PECOS Enrollment IDI20190312001039

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services28 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

32 services25 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

28 services27 patients

Hospital Affiliations CMS Care Compare

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.13

Promoting Interoperability

Improvement Activities

Cost

47.35

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.

SARAH A FLYNN M.D.

Psychiatry & Neurology (Psychiatry)