JULIE PETERSON LLC
NPI 1205535358
Nurse Practitioner - Psychiatric/Mental Health in Overland Park, KS

Active since February 27, 2023
7011 W 121ST ST STE 105, OVERLAND PARK, KS 66209(816) 533-5950 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2026, Mar 15, 2023, Feb 27, 2023 (3 updates tracked since 2023).

About Julie Peterson Llc NPPES

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

JULIE PETERSON LLC (NPI 1205535358) is a healthcare organization registered as a psychiatric/mental health in Overland Park, Kansas and active in the NPI registry since February 2023. The organization lists Julie Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1205535358
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameJULIE PETERSON LLC
Location Address7011 W 121ST ST STE 105Overland Park, KS 66209-2029
Mailing Address7011 W 121st St Ste 105Overland Park, KS 66209-2029
Organization SubpartNo
Authorized OfficialJulie PetersonOwner · (816) 533-5950
Enumeration DateFebruary 27, 2023
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1205535358 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
Also ListedClinic/CenterTaxonomy 261Q00000X
7011 W 121ST ST STE 105, Overland Park, KS 66209

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Peterson Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Julie Peterson LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831739945
7011 W 121ST ST
Leawood, KS 66209
(913) 677-3553
✔ PECOS✔ Accepts MedicareSame address

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

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 Julie Peterson LLC's NPI number?

The NPI number for Julie Peterson LLC is 1205535358. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Julie Peterson LLC located?

Julie Peterson LLC is located at 7011 W 121st St Ste 105, Overland Park, KS 66209. The listed phone number is (816) 533-5950.

What is Julie Peterson LLC's specialty?

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

Is Julie Peterson LLC enrolled in Medicare?

Yes. Julie Peterson LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Julie Peterson LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Julie Peterson LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Julie Peterson LLC was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.