MS. BRENDA LYNNE PETERSON CRNP
NPI 1225013139
Nurse Practitioner - Family in Hampton, VA
About Ms. Brenda Lynne Peterson Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BRENDA LYNNE PETERSON CRNP (NPI 1225013139) is an individual family provider in Hampton, Virginia, licensed in Virginia (0024167698) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Brenda Lynne Peterson Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brenda Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gloucester, VA 23061
- Reassigned Medicare billing, Virginia enrollment
- 54 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23666 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brenda Peterson's NPI number?
The NPI number for Brenda Peterson is 1225013139. It was assigned to this individual provider in the NPPES registry on December 13, 2005.
Where is Brenda Peterson located?
Brenda Peterson practices at 2208 Executive Dr Ste E, Hampton, VA 23666. The listed phone number is (757) 826-7516.
What is Brenda Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brenda Peterson enrolled in Medicare?
Yes. Brenda Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brenda Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Peterson reassigns Medicare benefits to Middle Peninsula Northern Neck Mental Health & Retardation (Gloucester, VA). The 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 Brenda Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Brenda Peterson was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ms. Brenda Lynne Peterson, CRNP · NPI 1225013139
Family physician in Hampton, Virginia. Individual provider, active in the CMS NPPES registry since December 13, 2005.
## Identity
- **NPI:** 1225013139 (Entity type: Individual)
- **Enumerated:** December 13, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024167698 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2208 EXECUTIVE DR STE E, Hampton, VA 23666-6603
- **Phone:** (757) 826-7516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Middle Peninsula Northern Neck Mental Health & Retardation (NPI 1497717615, Gloucester, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1225013139) · Data from the CMS NPPES public registry.