KATIE PETERSON DNP
NPI 1477076073
Nurse Practitioner - Family in Marceline, MO

Q: What is Katie Peterson's NPI number?

The NPI number for Katie Peterson is 1477076073. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Katie Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on July 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment

1600 N MISSOURI AVE, MARCELINE, MO 64658(660) 376-2038(660) 376-3011 Get Directions Write a Review

NPPES record last updated: July 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2019, Jul 25, 2017 (2 updates tracked since 2017).

On this page

About Katie Peterson Dnp NPPES

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

KATIE PETERSON DNP (NPI 1477076073) is an individual family provider in Marceline, Missouri, licensed in Missouri (2017021979) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Pershing Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1477076073

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE PETERSONCredential: DNP

Location Address1600 N MISSOURI AVEMarceline, MO 64658-1012

Mailing Address1600 N Missouri AveMarceline, MO 64658-1012 · (660) 376-2038 · Fax (660) 376-3011

Phone(660) 376-2038

Fax(660) 376-3011

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 25, 2017

Last NPPES UpdateJuly 5, 20192 updates tracked since enumeration

✔ NPI 1477076073 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 MO · 2017021979

1600 N MISSOURI AVE, Marceline, MO 64658

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Katie Peterson Dnp 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 ID143593723

PECOS Enrollment IDI20170901000926

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 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.

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.

26 services23 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

24 services22 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636

This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Pershing Memorial Hospital

Critical Access Hospitals · Brookfield, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261307

Location130 East LocklingBrookfield, MO 64628 · Linn County

Emergency services

Hedrick Medical Center

Critical Access Hospitals · Chillicothe, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number261321

Location2799 North Washington StreetChillicothe, MO 64601 · Livingston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64658 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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

2 suppliers13 claims30 services$5.23 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers20 claims20 services$168.58 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 6

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

MRS. LORENE L STEPHAN A.R.N.P.

Nurse Practitioner (Family)