1. Home
  2. Directory
  3. Michigan
  4. Jackson
  5. Nurse Practitioner
  6. NPI Profile

PAMELA TERESA PETERSON NP
NPI 1255371530
Nurse Practitioner - Acute Care in Jackson, MI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
300 W WASHINGTON AVE, SUITE 300, JACKSON, MI 49201(517) 841-1305(517) 841-1306 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pamela Teresa Peterson Np NPPES

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

PAMELA TERESA PETERSON NP (NPI 1255371530) is an individual acute care provider in Jackson, Michigan, licensed in Michigan (4704194081) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1255371530
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NamePAMELA TERESA PETERSONCredential: NP
Location Address300 W WASHINGTON AVE, SUITE 300Jackson, MI 49201-2180
Mailing AddressPo Box 670884Detroit, MI 48267-0884 · (800) 999-5829 · Fax (248) 641-4840
Phone(517) 841-1305
Fax(517) 841-1306
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 7, 2006
Last NPPES UpdateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1255371530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704194081
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704194081 (MI)
300 W WASHINGTON AVE, Jackson, MI 49201
Open in Google Maps ↗

Other Identifiers 2

Medicaid1255371530MI
OtherP00252787MI · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Pamela Teresa Peterson 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 ID840228953
PECOS Enrollment IDI20050730000027
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.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$17.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$97.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MAX CARLTON HUTTON MD
Surgery
300 W WASHINGTON AVE, SUITE 300
JACKSON, MI 49201
Jackson County (517) 841-1305
JACKSON OB/GYN
Specialist
300 W WASHINGTON AVE, STE 60
JACKSON, MI 49201
Jackson County (517) 787-0334
MR. DANA ANDRE DEWITT DO
Family Medicine
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201
Jackson County (517) 783-4664
KAREN M MACPHERSON CNP
Nurse Practitioner
300 W WASHINGTON AVE, STE 300
JACKSON, MI 49201
Jackson County (517) 841-1305
CENTER FOR FAMILY HEALTH
Family Medicine
300 W WASHINGTON AVE, SUITE 060
JACKSON, MI 49201
Jackson County (517) 787-5970
DR. MICHAEL S MCDONNELL D.O.
Obstetrics & Gynecology
300 W WASHINGTON AVE
JACKSON, MI 49201
Jackson County (517) 787-0334
LAWRENCE NARKIEWICZ JR. MD
Surgery
300 W WASHINGTON AVE, SUITE 350
JACKSON, MI 49201
Jackson County (517) 788-9677
MR. MICHAEL CHARLES MCGLYNN CFNP
Nurse Practitioner
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201
Jackson County (517) 783-4664

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 Pamela Peterson's NPI number?

The NPI number for Pamela Peterson is 1255371530. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Pamela Peterson located?

Pamela Peterson practices at 300 W Washington Ave Suite 300, Jackson, MI 49201. The listed phone number is (517) 841-1305.

What is Pamela Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Pamela Peterson enrolled in Medicare?

Yes. Pamela Peterson 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.

What insurance does Pamela Peterson accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pamela 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.

Is Pamela Peterson affiliated with any hospitals?

According to CMS data, Pamela Peterson is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Pamela Peterson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.