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NATHAN JEFFREY PETERSEN MD
NPI 1245525930
Obstetrics & Gynecology in Glendale, AZ

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
6370 W UNION HILLS DR, GLENDALE, AZ 85308(623) 414-3500(623) 455-9214 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Jeffrey Petersen Md NPPES

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

NATHAN JEFFREY PETERSEN MD (NPI 1245525930) is an individual obstetrics & gynecology provider in Glendale, Arizona, licensed in Arizona (51043) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Virginia School Of Medicine (2011).

NPPES Registry Identity

NPI1245525930
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameNATHAN JEFFREY PETERSENCredential: MD
Location Address6370 W UNION HILLS DRGlendale, AZ 85308-7136
Mailing Address6370 W Union Hills DrGlendale, AZ 85308-7136 · (623) 414-3500 · Fax (623) 455-9214
Phone(623) 414-3500
Fax(623) 455-9214
Sole ProprietorYes
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateNovember 2, 2017
✔ NPI 1245525930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in AZ · 51043✔ Licensed in AZ · R72843
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6370 W UNION HILLS DR, Glendale, AZ 85308
Open in Google Maps ↗

Other Identifiers 1

Medicaid167288AZ

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

Nathan Jeffrey Petersen Md 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 ID7113218116
PECOS Enrollment IDI20190724001937
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.

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Other Providers at the Same Location NPPES 8

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

KAMERON R FIROUZI PLC
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
DANIELLE FLADHAMMER CNM
Advanced Practice Midwife
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
DR. MITCHELL ROBERT COOK DO
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
ARROWHEAD WOMEN'S CENTER, LLC
Specialist
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
DAMIAN JEREMY BASS, MD LTD
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
MARVIN L ERICKSON M.D.
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
M. L. ERICKSON, MD, LLC
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500
DR. DAMIAN JEREMY BASS M.D.
Obstetrics & Gynecology
6370 W UNION HILLS DR
GLENDALE, AZ 85308
Maricopa County (623) 414-3500

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 Nathan Petersen's NPI number?

The NPI number for Nathan Petersen is 1245525930. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Nathan Petersen located?

Nathan Petersen practices at 6370 W Union Hills Dr, Glendale, AZ 85308. The listed phone number is (623) 414-3500.

What is Nathan Petersen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nathan Petersen enrolled in Medicare?

Yes. Nathan 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 Nathan Petersen affiliated with any hospitals?

According to CMS data, Nathan Petersen is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Petersen was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.