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JESSE PETERSON LAC
NPI 1235259946
Acupuncturist in Roseville, MN

Active since March 29, 2007
2151 HAMLINE AVE N STE 108, ROSEVILLE, MN 55113(612) 242-9630 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse Peterson Lac NPPES

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

JESSE PETERSON LAC (NPI 1235259946) is an individual acupuncturist in Roseville, Minnesota, licensed in Minnesota (1333) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235259946
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameJESSE PETERSONCredential: LAC
Location Address2151 HAMLINE AVE N STE 108Roseville, MN 55113-4226
Mailing Address2151 Hamline Ave N, Suite 108Roseville, MN 55113-4236 · (612) 242-9630 · Fax (651) 636-6110
Phone(612) 242-9630
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 31, 2011
✔ NPI 1235259946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MN · 1333
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
2151 HAMLINE AVE N STE 108, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EASTERN HEALTH INC
Acupuncturist
2151 HAMLINE AVE N STE 108
ROSEVILLE, MN 55113
Ramsey County (612) 242-9630

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 Jesse Peterson's NPI number?

The NPI number for Jesse Peterson is 1235259946. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Jesse Peterson located?

Jesse Peterson practices at 2151 Hamline Ave N Ste 108, Roseville, MN 55113. The listed phone number is (612) 242-9630.

What is Jesse Peterson's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Jesse Peterson accept?

Health plans from Medica list Jesse Peterson 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 Jesse Peterson was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.