Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DAVID PETERSEN NP
NPI 1225497894
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is David Petersen's NPI number?

The NPI number for David Petersen is 1225497894. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Q: What is David 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 David Petersen was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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 11, 2016PECOS EnrolledAccepts Medicare Assignment

3512 QUENTIN RD, BROOKLYN, NY 11234(888) 515-3834 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Aug 21, 2024, Feb 11, 2016 (3 updates tracked since 2016).

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About David Petersen Np NPPES

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

DAVID PETERSEN NP (NPI 1225497894) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F406902-01) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1225497894

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDAVID PETERSENCredential: NP

Location Address3512 QUENTIN RDBrooklyn, NY 11234-4244

Mailing Address2319 Pine Run RdLinden, PA 17744-8149 · (570) 215-9965 · Fax (570) 215-9965

Phone(888) 515-3834

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 11, 2016

Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration

NPPES CertifiedJuly 8, 2026

✔ NPI 1225497894 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

Licenses✔ Licensed in NY · F406902-01✔ Licensed in PA · SPO30250

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SPO15897 (PA)

3512 QUENTIN RD, Brooklyn, NY 11234

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1400 Market StWilliamsport, PA 17701-6344 · Phone (570) 215-9965 · Fax (570) 215-9965

Location 2224 W 35th St Ste 500New York, NY 10001-2538 · Phone (570) 215-9965 · Fax (570) 215-9965

Location 32319 Pine Run RdLinden, PA 17744-8149 · Phone (570) 916-4782

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

David Petersen Np 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 ID5496051351

PECOS Enrollment IDI20160303000265, I20211119000992

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 8

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

568 services159 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

99 services99 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

82 services54 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

65 services39 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

42 services17 patients

Psychiatric diagnostic evaluation with medical services 90792

38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11234 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

MRS. MARINA KRUGOLETS LMHC, LPC

Counselor (Mental Health)