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DR. REBECCA Y. PETERSEN MD
NPI 1205125952
Pediatrics - Neonatal-Perinatal Medicine in Saint Louis, MO

Active since April 04, 2011PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5642(314) 268-6410 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2021, Apr 17, 2019, Apr 11, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Rebecca Y. Petersen Md NPPES

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

DR. REBECCA Y. PETERSEN MD (NPI 1205125952) is an individual neonatal-perinatal medicine provider in Saint Louis, Missouri, licensed in Missouri (2014011522) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205125952
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. REBECCA Y. PETERSENCredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5642 · Fax (314) 268-6410
Phone(314) 577-5642
Fax(314) 268-6410
Sole ProprietorNo
Enumeration DateApril 4, 2011
Last NPPES UpdateJanuary 18, 20216 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1205125952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MO · 2014011522
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 2014011522 (MO)
1465 S GRAND BLVD, Saint Louis, MO 63104
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Other Names 1

Former Name (1)Rebecca Young Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rebecca Y. Petersen Md 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.

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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Rebecca Petersen's NPI number?

The NPI number for Rebecca Petersen is 1205125952. It was assigned to this individual provider in the NPPES registry on April 4, 2011. The provider is also known as Rebecca Young MD.

Where is Rebecca Petersen located?

Rebecca Petersen practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5642.

What is Rebecca Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Rebecca Petersen enrolled in Medicare?

Yes. Rebecca Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Rebecca Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Rebecca Petersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Petersen was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.