KATIE PETERSON
NPI 1477886323
Physician Assistant - Medical in Maple Grove, MN

Active since September 10, 2009PECOS EnrolledAccepts Medicare Assignment
17521 93RD PL N, MAPLE GROVE, MN 55311(763) 577-7179 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katie Peterson NPPES

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

KATIE PETERSON (NPI 1477886323) is an individual medical provider in Maple Grove, Minnesota and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Fairview Northland Regional Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1477886323
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATIE PETERSON
Location Address17521 93RD PL NMaple Grove, MN 55311-4437
Mailing Address17521 93rd Pl NMaple Grove, MN 55311-4437
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 10, 2009
NPI 1477886323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
17521 93RD PL N, Maple Grove, MN 55311

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

Katie Peterson 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 ID8527105063
PECOS Enrollment IDI20091102000384
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 7

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.
43 services31 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.
41 services25 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
16 services16 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.
16 services16 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
13 services13 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Fairview Northland Regional Hospital

Acute Care Hospitals · Princeton, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240141
Location911 Northland DrivePrinceton, MN 55371 · Mille Lacs County
Emergency services Birthing friendly

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 Katie Peterson's NPI number?

The NPI number for Katie Peterson is 1477886323. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Where is Katie Peterson located?

Katie Peterson practices at 17521 93rd Pl N, Maple Grove, MN 55311. The listed phone number is (763) 577-7179.

What is Katie Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Katie Peterson enrolled in Medicare?

Yes. Katie 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 Katie Peterson accept?

Health plans from Medica and Sanford Health Plan list Katie 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 Katie Peterson affiliated with any hospitals?

According to CMS data, Katie Peterson is affiliated with Fairview Northland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.