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EVELYN PETERSON MD
NPI 1306809520
Pediatrics - Neonatal-Perinatal Medicine in Kalispell, MT

Active since April 10, 2006PECOS Enrolled
350 SUNNYVIEW LN, KALISPELL, MT 59901(406) 752-5111(406) 756-2703 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evelyn Peterson Md NPPES

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

EVELYN PETERSON MD (NPI 1306809520) is an individual neonatal-perinatal medicine provider in Kalispell, Montana, licensed in Missouri (2005007776) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kalispell.

NPPES Registry Identity

NPI1306809520
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameEVELYN PETERSONCredential: MD
Location Address350 SUNNYVIEW LNKalispell, MT 59901-3129
Mailing Address350 Sunnyview LnKalispell, MT 59901-3129 · (406) 752-5111 · Fax (406) 756-2703
Phone(406) 752-5111
Fax(406) 756-2703
Sole ProprietorYes
Enumeration DateApril 10, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedJune 30, 2020
✔ NPI 1306809520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in MO · 2005007776✔ Licensed in ID · M-8305✔ Licensed in CO · 43861
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
350 SUNNYVIEW LN, Kalispell, MT 59901
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Other Names 1

Other Name (5)Lyn Peterson Md

Secondary Practice Location 1

Location 1310 Sunnyview LnKalispell, MT 59901-3129 · Phone (406) 751-5391 · Fax (406) 751-2988

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Peterson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Evelyn Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kalispell Regional Medical Center, Inc
Same address
Genetics
320 SUNNYVIEW LN
Kalispell, MT 59901
  • Reassigned Medicare billing, Montana enrollment
  • 483 clinicians in this Medicare group
NPI 1194425488 (406) 607-8003

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evelyn Peterson's NPI number?

The NPI number for Evelyn Peterson is 1306809520. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as Lyn Peterson MD.

Where is Evelyn Peterson located?

Evelyn Peterson practices at 350 Sunnyview Ln, Kalispell, MT 59901. The listed phone number is (406) 752-5111.

What is Evelyn Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Evelyn Peterson enrolled in Medicare?

Yes. Evelyn Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evelyn Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Peterson reassigns Medicare benefits to Kalispell Regional Medical Center, Inc (Kalispell, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evelyn Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evelyn Peterson accept?

Health plans from Blue Cross and Blue Shield of Montana and PacificSource Health Plans list Evelyn 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 Evelyn Peterson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.