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MR. KENNETH S PETERSON NP
NPI 1194744896
Nurse Practitioner - Family in Worcester, MA

Active since July 19, 2006PECOS Enrolled
70 HIGHLAND ST STE 1, WORCESTER, MA 01609(508) 715-6372 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth S Peterson Np NPPES

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

MR. KENNETH S PETERSON NP (NPI 1194744896) is an individual family provider in Worcester, Massachusetts, licensed in Massachusetts (RN192039) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1194744896
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KENNETH S PETERSONCredential: NP
Location Address70 HIGHLAND ST STE 1Worcester, MA 01609-2730
Mailing Address70 Highland St Ste 1Worcester, MA 01609-2730 · (508) 847-6546 · Fax (508) 433-9785
Phone(508) 715-6372
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1194744896 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 MA · RN192039
70 HIGHLAND ST STE 1, Worcester, MA 01609
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Secondary Practice Location 1

Location 126 Queen StWorcester, MA 01610 · Phone (508) 860-7800 · Fax (508) 860-7973

Other Identifiers 1

Medicaid0322938MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth S Peterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01609 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Kenneth Peterson's NPI number?

The NPI number for Kenneth Peterson is 1194744896. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kenneth Peterson located?

Kenneth Peterson practices at 70 Highland St Ste 1, Worcester, MA 01609. The listed phone number is (508) 715-6372.

What is Kenneth Peterson's specialty?

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

Is Kenneth Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kenneth Peterson was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.