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KATIE PETERSEN
NPI 1235571092
Nurse Practitioner in Williamsport, PA

Active since July 22, 2013PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
740 HIGH ST STE 2001, SUITE 2001, WILLIAMSPORT, PA 17701(570) 321-2800 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, Sep 12, 2017 (2 updates tracked since 2017).

About Katie Petersen NPPES

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

KATIE PETERSEN (NPI 1235571092) is an individual nurse practitioner in Williamsport, Pennsylvania, licensed in Pennsylvania (SP012933) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1235571092
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATIE PETERSEN
Location Address740 HIGH ST STE 2001, SUITE 2001Williamsport, PA 17701-3102
Mailing Address1201 Grampian Blvd, Suite 2001Williamsport, PA 17701-1900
Phone(570) 321-2800
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 22, 2013
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
✔ NPI 1235571092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP012933
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
740 HIGH ST STE 2001, Williamsport, PA 17701
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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

Katie Petersen 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 ID2567697253
PECOS Enrollment IDI20131105001823
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services129 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
26 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

Other Providers at the Same Location NPPES 19

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

BENJAMIN BANSUN CHANG MD
Surgery (Vascular Surgery)
740 HIGH ST STE 2001
WILLIAMSPORT, PA 17701
Lycoming County (703) 212-8055
MERETE VOGELSONG
Nurse Practitioner
740 HIGH ST STE 2001, SUITE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2800
DR. DAVID AMBROSE JR. DO
Internal Medicine (Cardiovascular Disease)
740 HIGH ST STE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2800
CASEY YOSSA MD
Surgery (Vascular Surgery)
740 HIGH ST STE 2001, SUITE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2805
DR. EDWARD M BENDER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 HIGH ST STE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3165
CHIN-CHIN YEH MD
Surgery (Vascular Surgery)
740 HIGH ST STE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2805
GRACE CHESTNUT PA-C
Physician Assistant
740 HIGH ST STE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2800
CARLO GARDNER
Physician Assistant
740 HIGH ST STE 2001, SUITE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2800

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 Katie Petersen's NPI number?

The NPI number for Katie Petersen is 1235571092. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Katie Petersen located?

Katie Petersen practices at 740 High St Ste 2001 Suite 2001, Williamsport, PA 17701. The listed phone number is (570) 321-2800.

What is Katie Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katie Petersen enrolled in Medicare?

Yes. Katie Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Katie Petersen affiliated with any hospitals?

According to CMS data, Katie Petersen is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Katie Petersen was last updated on March 25, 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.