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AMY SUZETTE PETERSEN APRN
NPI 1396350906
Nurse Practitioner - Family in Atlantic, IA

Active since September 10, 2020PECOS Enrolled
76.83/100
CMS Quality Rating
1501 E 10TH ST, ATLANTIC, IA 50022(712) 243-2850 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 4, 2025, Nov 24, 2020, Sep 10, 2020 (3 updates tracked since 2020).

About Amy Suzette Petersen Aprn NPPES

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

AMY SUZETTE PETERSEN APRN (NPI 1396350906) is an individual family provider in Atlantic, Iowa, licensed in Iowa (A161458) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396350906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY SUZETTE PETERSENCredential: APRN
Location Address1501 E 10TH STAtlantic, IA 50022-1936
Mailing Address1501 E 10th StAtlantic, IA 50022-1936
Phone(712) 243-2850
Sole ProprietorNo
Enumeration DateSeptember 10, 2020
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1396350906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A161458
Also ListedRegistered NurseTaxonomy 163W00000X · License 094183 (IA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 305229 (AZ)
1501 E 10TH ST, Atlantic, IA 50022
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Suzette Petersen Aprn 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Amy Petersen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montgomery County Memorial Hospital
28 mi
Critical Access
2301 EASTERN AVE
Red Oak, IA 51566
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1265405310 (Iowa)
  • 67 clinicians in this Medicare group
NPI 1376539338 (712) 623-7000
Trinity Regional Medical Center
86 mi
Emergency Medicine
802 KENYON RD
Fort Dodge, IA 50501
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group
NPI 1073594156 (515) 573-3101
Emergency Physicians Southwest, PC
1,068 mi
Emergency Medicine
6644 E BAYWOOD AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 289 clinicians in this Medicare group
NPI 1912053752 (480) 321-2000
Arizona Emergency Medicine Specialists PC
1,156 mi
Emergency Medicine
101 CIVIC CENTER LN
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 58 clinicians in this Medicare group
NPI 1134439706 (928) 855-8185

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
206 services196 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
139 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
85 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50022 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

76.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.09
Improvement Activities40
Cost44.61

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier23 claims23 services$7.47 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 20

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

EMILY CHANG D.O.
Obstetrics & Gynecology
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2850
KIEU DIEM PHAM
Student in an Organized Health Care Education/Training Program
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
DR. JAMES BROWN M.D.
Obstetrics & Gynecology
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-2850
AUTUMN KEISER
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
KASEY LYNN MENEELY
Physical Therapist
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-7564
ADAM JOEL VERHOEF MD
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
EMILY ANNE WITTROCK RN, BSN, MSN, FNP-C
Family Medicine
1501 E 10TH ST
ATLANTIC, IA 50022
Cass County (712) 243-3250
JORDAN MCPHERON DPT
Physical Therapist
1501 E 10TH ST, REHABILITATION SERVICES
ATLANTIC, IA 50022
Cass County (712) 243-7564

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 Amy Petersen's NPI number?

The NPI number for Amy Petersen is 1396350906. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Amy Petersen located?

Amy Petersen practices at 1501 E 10th St, Atlantic, IA 50022. The listed phone number is (712) 243-2850.

What is Amy Petersen's specialty?

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

Is Amy Petersen enrolled in Medicare?

Yes. Amy Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amy Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Petersen reassigns Medicare benefits to 4 organizations: Montgomery County Memorial Hospital (Red Oak, IA), Trinity Regional Medical Center (Fort Dodge, IA), Emergency Physicians Southwest, PC (Mesa, AZ) and Arizona Emergency Medicine Specialists PC (Lake Havasu City, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Petersen accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross Blue Shield of Arizona, Medica and Wellmark Health Plan of Iowa, Inc. list Amy 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 Amy Petersen was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.