LUKE RUSSELL PETERSON
NPI 1366245227
Student in an Organized Health Care Education/Training Program in Muncie, IN

Active since March 28, 2025PECOS Enrolled
2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 741-1095 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2026, Mar 28, 2025 (2 updates tracked since 2025).

About Luke Russell Peterson NPPES

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

LUKE RUSSELL PETERSON (NPI 1366245227) is an individual student in an organized health care education/training program in Muncie, Indiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366245227
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUKE RUSSELL PETERSON
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address2401 W University AveMuncie, IN 47303-3428 · (765) 741-1095
Sole ProprietorYes
Enumeration DateMarch 28, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1366245227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2401 W UNIVERSITY AVE, Muncie, IN 47303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luke Russell Peterson 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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Radiology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Family Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Nurse Practitioner (Acute Care)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Physician Assistant (Medical)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Occupational Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Student in an Organized Health Care Education/Training Program
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Pathology (Clinical Pathology)
2401 W UNIVERSITY AVE
MUNCIE, IN 47303

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 Luke Peterson's NPI number?

The NPI number for Luke Peterson is 1366245227. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Luke Peterson located?

Luke Peterson practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 741-1095.

What is Luke Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luke Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Luke Peterson was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.