DR. NANNETTE MARIE PETERSEN D.O.
NPI 1336152586
Family Medicine in Spartanburg, SC

Q: What is Nannette Petersen's NPI number?

The NPI number for Nannette Petersen is 1336152586. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Nannette Petersen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nannette Petersen was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 15, 2006PECOS Enrolled

279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303(864) 582-7025(864) 583-5715 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Nannette Marie Petersen D.o. NPPES

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

DR. NANNETTE MARIE PETERSEN D.O. (NPI 1336152586) is an individual family medicine provider in Spartanburg, South Carolina, licensed in Florida (OS7768) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336152586

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NANNETTE MARIE PETERSENCredential: D.O.

Location Address279 N GROVE MEDICAL PARK DRSpartanburg, SC 29303-4222

Mailing Address27 Rabon Valley Acres RdFountain Inn, SC 29644-8605 · (864) 582-7025 · Fax (864) 583-5715

Phone(864) 582-7025

Fax(864) 583-5715

Sole ProprietorNo

Enumeration DateAugust 15, 2006

Last NPPES UpdateMarch 24, 2017

✔ NPI 1336152586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS7768

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

279 N GROVE MEDICAL PARK DR, Spartanburg, SC 29303

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nannette Marie Petersen D.o. 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 29303 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

MICAH B. MOSKOFF LICSW

Social Worker (Clinical)