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SHEILA MARIE PETERSON ARNP
NPI 1457561987
Nurse Practitioner in Mount Airy, NC

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
830 ROCKFORD ST, MOUNT AIRY, NC 27030(336) 719-7370(336) 786-4048 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sheila Marie Peterson Arnp NPPES

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

SHEILA MARIE PETERSON ARNP (NPI 1457561987) is an individual nurse practitioner in Mount Airy, North Carolina, licensed in North Carolina (5004297) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Kalamazoo.

NPPES Registry Identity

NPI1457561987
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHEILA MARIE PETERSONCredential: ARNP
Location Address830 ROCKFORD STMount Airy, NC 27030
Mailing AddressPo Box 1267Mount Airy, NC 27030-1267 · (336) 786-4522 · Fax (336) 786-3752
Phone(336) 719-7370
Fax(336) 786-4048
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 23, 2007
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1457561987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5004297
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
830 ROCKFORD ST, Mount Airy, NC 27030
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Secondary Practice Location 1

Location 1601 John St, Box 74Kalamazoo, MI 49007-5341 · Phone (269) 341-8481 · Fax (269) 341-7781

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Sheila Marie Peterson Arnp 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 ID6709974157
PECOS Enrollment IDI20090414000320
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
98 services97 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27030 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%31 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
36%59 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%67 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
27%22 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 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.

KIRSTIN ROBINSON LYNCH DPT
Physical Therapist
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 719-7000
CHRISTIAN HOPE SCHLITT DO
Hospitalist
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 783-8374
NORTHERN HOSPITAL OF SURRY COUNTY
Internal Medicine
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 719-7000
NORTHERN HOSPITAL OF SURRY COUNTY
Durable Medical Equipment & Medical Supplies
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 719-7000
JEFFREY MARTELLO RD, LDN
Dietitian, Registered
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 847-0783
NORTHERN REGIONAL HOSPITAL
General Acute Care Hospital
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 783-8374
ADAM J MCHONE NP-C
Nurse Practitioner (Family)
830 ROCKFORD ST, DEPARTMENT OF EMERGENCY MEDICINE
MOUNT AIRY, NC 27030
Surry County (336) 786-6068
MRS. AMY LELA MARTIN NP-C
Nurse Practitioner (Family)
830 ROCKFORD ST
MOUNT AIRY, NC 27030
Surry County (336) 786-6068

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 Sheila Peterson's NPI number?

The NPI number for Sheila Peterson is 1457561987. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Sheila Peterson located?

Sheila Peterson practices at 830 Rockford St, Mount Airy, NC 27030. The listed phone number is (336) 719-7370.

What is Sheila Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sheila Peterson enrolled in Medicare?

Yes. Sheila 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 Sheila Peterson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and UnitedHealthcare list Sheila 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 Sheila Peterson affiliated with any hospitals?

According to CMS data, Sheila Peterson is affiliated with Northern Regional Hospital and Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Sheila Peterson was last updated on May 22, 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.