HOLLY PETERSON NP
NPI 1295968618
Nurse Practitioner in Lansing, MI

Q: What is Holly Peterson's NPI number?

The NPI number for Holly Peterson is 1295968618. It was assigned to this individual provider in the NPPES registry on September 2, 2009.

Q: What is Holly Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Peterson was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 02, 2009PECOS Enrolled

1215 E MICHIGAN AVE, LANSING, MI 48912(517) 337-0957 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Holly Peterson Np NPPES

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

HOLLY PETERSON NP (NPI 1295968618) is an individual nurse practitioner in Lansing, Michigan, licensed in Michigan (4704205531) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295968618

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHOLLY PETERSONCredential: NP

Location Address1215 E MICHIGAN AVELansing, MI 48912-1811

Mailing Address6896 W Snowville RdBrecksville, OH 44141-3214

Phone(517) 337-0957

Sole ProprietorNo

Enumeration DateSeptember 2, 2009

Last NPPES UpdateJanuary 27, 2010

✔ NPI 1295968618 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 MI · 4704205531

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.

1215 E MICHIGAN AVE, Lansing, MI 48912

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Other Identifiers 1

Medicare PINC37626101MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Peterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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.

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.

DANIEL FRANCIS BOUCHARD D.O.

Family Medicine

1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912

Ingham County (231) 955-3360

DR. JESSICA FROST MD

Obstetrics & Gynecology