SAM RICHARD PETERSEN CRNP
NPI 1386900728
Nurse Practitioner - Acute Care in Huntsville, AL
About Sam Richard Petersen Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM RICHARD PETERSEN CRNP (NPI 1386900728) is an individual acute care provider in Huntsville, Alabama, licensed in Alabama (1-109909) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Sam Richard 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
HUNTSVILLE, AL 35801
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 Sam Petersen's NPI number?
The NPI number for Sam Petersen is 1386900728. It was assigned to this individual provider in the NPPES registry on April 10, 2012.
Where is Sam Petersen located?
Sam Petersen practices at 201 Sivley Rd SW Ste 500, Huntsville, AL 35801. The listed phone number is (256) 265-3881.
What is Sam Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Sam Petersen enrolled in Medicare?
Yes. Sam 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 Sam Petersen accept?
Health plans from Blue Cross and Blue Shield of Alabama list Sam 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 Sam Petersen was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Sam Richard Petersen, CRNP · NPI 1386900728
Acute Care physician in Huntsville, Alabama. Individual provider, active in the CMS NPPES registry since April 10, 2012.
## Identity
- **NPI:** 1386900728 (Entity type: Individual)
- **Enumerated:** April 10, 2012
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1-109909 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 SIVLEY RD SW STE 500, Huntsville, AL 35801-5177
- **Phone:** (256) 265-3881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** December 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386900728) · Data from the CMS NPPES public registry.