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KELLY LEIGH PETERSON PNP-AC
NPI 1326437120
Nurse Practitioner - Pediatrics in Nashville, TN

Active since January 16, 2015PECOS Enrolled
2200 CHILDRENS WAY MONROE CARELL JR, DOCTOR'S OFFICE TOWER, 7TH FLOOR, SUITE 7100, NASHVILLE, TN 37232(615) 936-1050 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Leigh Peterson Pnp-ac NPPES

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

KELLY LEIGH PETERSON PNP-AC (NPI 1326437120) is an individual pediatrics provider in Nashville, Tennessee, licensed in Tennessee (19462) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326437120
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY LEIGH PETERSONCredential: PNP-AC
Location Address2200 CHILDRENS WAY MONROE CARELL JR, DOCTOR'S OFFICE TOWER, 7TH FLOOR, SUITE 7100Nashville, TN 37232-0001
Mailing Address1510 Demonbreun St, Apt 1012Nashville, TN 37203-3182 · (406) 531-2943
Phone(615) 936-1050
Sole ProprietorNo
Enumeration DateJanuary 16, 2015
Last NPPES UpdateFebruary 22, 2016
✔ NPI 1326437120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TN · 19462
2200 CHILDRENS WAY MONROE CARELL JR, Nashville, TN 37232
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Leigh Peterson Pnp-ac 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 Kelly Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seattle Children's Hospital
1,971 mi
Primary Care
3939 S OTHELLO ST STE 101
Seattle, WA 98118
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 clinicians in this Medicare group
NPI 1134251747 (206) 987-7200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Kelly Peterson's NPI number?

The NPI number for Kelly Peterson is 1326437120. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Kelly Peterson located?

Kelly Peterson practices at 2200 Childrens Way Monroe Carell Jr Doctor's Office Tower, 7th Floor, Suite 7100, Nashville, TN 37232. The listed phone number is (615) 936-1050.

What is Kelly Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Peterson enrolled in Medicare?

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

Which organization bills Medicare for Kelly Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Peterson reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). 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 Kelly Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Peterson was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.