KATHRYN ANNE PETERSEN CRNP
NPI 1356077879
Nurse Practitioner - Family in Madison, AL

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
87.58/100
CMS Quality Rating
44 HUGHES RD STE 2500, MADISON, AL 35758(256) 464-2920(256) 542-3200 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2023, Jul 27, 2022 (2 updates tracked since 2022).

About Kathryn Anne Petersen Crnp NPPES

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

KATHRYN ANNE PETERSEN CRNP (NPI 1356077879) is an individual family provider in Madison, Alabama, licensed in Alabama (1-147633) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356077879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN ANNE PETERSENCredential: CRNP
Location Address44 HUGHES RD STE 2500Madison, AL 35758-3026
Mailing Address44 Hughes Rd Ste 2500Madison, AL 35758-3026 · (256) 464-2920 · Fax (256) 542-3200
Fax(256) 542-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2022
Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration
NPPES CertifiedMarch 21, 2024
NPI 1356077879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-147633
44 HUGHES RD STE 2500, Madison, AL 35758

Accepted 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

Kathryn Anne Petersen Crnp 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 ID7315321726
PECOS Enrollment IDI20220902002556
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40
Cost71.44

Other Providers at the Same Location NPPES 2

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

Family Medicine (Sleep Medicine)
44 HUGHES RD STE 2500
MADISON, AL 35758
Family Medicine (Sleep Medicine)
44 HUGHES RD STE 2500
MADISON, AL 35758

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 Kathryn Petersen's NPI number?

The NPI number for Kathryn Petersen is 1356077879. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Kathryn Petersen located?

Kathryn Petersen practices at 44 Hughes Rd Ste 2500, Madison, AL 35758. The listed phone number is (256) 464-2920.

What is Kathryn Petersen's specialty?

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

Is Kathryn Petersen enrolled in Medicare?

Yes. Kathryn Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kathryn Petersen accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kathryn Petersen 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 Kathryn Petersen was last updated on March 21, 2024. 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.