MRS. JENNIFER LEE PETERSON APRN CNP
NPI 1316379597
Nurse Practitioner - Family in Walker, MN

Q: What is Jennifer Peterson's NPI number?

The NPI number for Jennifer Peterson is 1316379597. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Peterson was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 30, 2013PECOS EnrolledAccepts Medicare Assignment

614 MICHIGAN AVE W, WALKER, MN 56484(218) 547-7700(320) 219-7149 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Oct 22, 2018 (2 updates tracked since 2018).

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About Mrs. Jennifer Lee Peterson Aprn Cnp NPPES

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

MRS. JENNIFER LEE PETERSON APRN CNP (NPI 1316379597) is an individual family provider in Walker, Minnesota, licensed in Minnesota (CNP0445) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Centracare Health Paynesville Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316379597

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JENNIFER LEE PETERSONCredential: APRN CNP

Location Address614 MICHIGAN AVE WWalker, MN 56484-2276

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419

Phone(218) 547-7700

Fax(320) 219-7149

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 30, 2013

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1316379597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MN · CNP0445✔ Licensed in MN · R 140844-9

Also ListedRegistered NurseTaxonomy 163W00000X · License R1408449 (MN)

614 MICHIGAN AVE W, Walker, MN 56484

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Secondary Practice Locations 2

Location 115800 87th St NEOtsego, MN 55330-6546 · Phone (866) 389-2727

Location 2100 2ND S STSARTELL, MN 56377-1977 · Phone (320) 251-2600 ext. 117 · Fax (320) 252-1199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Mrs. Jennifer Lee Peterson Aprn Cnp 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 ID2860703279

PECOS Enrollment IDI20150625001016

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.

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241349

Location200 1st Street WestPaynesville, MN 56362 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56484 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 8

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

RACHEL ROWENHORST DPT, PT

Physical Therapist