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MRS. RHONDA SUE ELLERY-PETERSON FNP
NPI 1376525170
Nurse Practitioner - Family in Midland, MI

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
99.66/100
CMS Quality Rating
801 JOE MANN BLVD, MIDLAND, MI 48642(989) 794-4032(989) 354-4979 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Rhonda Sue Ellery-peterson Fnp NPPES

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

MRS. RHONDA SUE ELLERY-PETERSON FNP (NPI 1376525170) is an individual family provider in Midland, Michigan, licensed in Michigan (4704177958) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1376525170
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RHONDA SUE ELLERY-PETERSONCredential: FNP
Location Address801 JOE MANN BLVDMidland, MI 48642-8900
Mailing Address801 Joe Mann BlvdMidland, MI 48642-8900 · (989) 794-4032 · Fax (989) 835-8710
Phone(989) 794-4032
Fax(989) 354-4979
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 17, 2005
Last NPPES UpdateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1376525170 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 MI · 4704177958
801 JOE MANN BLVD, Midland, MI 48642
Open in Google Maps ↗

Other Identifiers 3

Other4704177958MI · State License Number
Medicaid4975205MI
Other500Z410370MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Rhonda Sue Ellery-peterson Fnp 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 ID840298907
PECOS Enrollment IDI20061128000167
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 6

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
122 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services41 patients
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.
50 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services23 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48642 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

99.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims36 services$6.29 avg. paid by Medicare
Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$87.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ROSTAM ADULT AND PEDIATRIC MEDICINE MIDLAND PLLC
Family Medicine
801 JOE MANN BLVD, SUITE H
MIDLAND, MI 48642
Midland County (248) 930-6442

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 Rhonda Ellery-peterson's NPI number?

The NPI number for Rhonda Ellery-peterson is 1376525170. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Rhonda Ellery-peterson located?

Rhonda Ellery-peterson practices at 801 Joe Mann Blvd, Midland, MI 48642. The listed phone number is (989) 794-4032.

What is Rhonda Ellery-peterson's specialty?

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

Is Rhonda Ellery-peterson enrolled in Medicare?

Yes. Rhonda Ellery-peterson 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 Rhonda Ellery-peterson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Rhonda Ellery-peterson 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.

Is Rhonda Ellery-peterson affiliated with any hospitals?

According to CMS data, Rhonda Ellery-peterson is affiliated with Mclaren Bay Region and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Rhonda Ellery-peterson was last updated on October 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.