TONJA S PETERSEN - ANDERSON ARNP
NPI 1487626719
Nurse Practitioner in Lake City, IA

Q: What is Tonja Petersen - Anderson's NPI number?

The NPI number for Tonja Petersen - Anderson is 1487626719. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is Tonja Petersen - Anderson's specialty?

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

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment

1351 W MAIN ST, LAKE CITY, IA 51449(712) 464-7907(712) 464-7412 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tonja S Petersen - Anderson Arnp NPPES

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

TONJA S PETERSEN - ANDERSON ARNP (NPI 1487626719) is an individual nurse practitioner in Lake City, Iowa, licensed in Iowa (A097418) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1487626719

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTONJA S PETERSEN - ANDERSONCredential: ARNP

Location Address1351 W MAIN STLake City, IA 51449-1585

Mailing Address1351 W Main St, Po Box 114Lake City, IA 51449-1585 · (712) 464-7907 · Fax (712) 464-7412

Phone(712) 464-7907

Fax(712) 464-7412

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateFebruary 2, 2006

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1487626719 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 IA · A097418

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.

1351 W MAIN ST, Lake City, IA 51449

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Other Identifiers 2

Medicare PINI3396IA

Medicare UPINS44840

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Tonja S Petersen - Anderson 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 ID8123046026

PECOS Enrollment IDI20051109000683

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 Reassignment

Medicare enrollment records show Tonja Petersen - Anderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stewart Memorial Community Hospital

0.3 mi

Family Medicine

1301 W MAIN ST
Lake City, IA 51449

Reassigned Medicare billing, Iowa enrollment
42 clinicians in this Medicare group

NPI 1013058924 (712) 464-3171

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

Hospital Affiliations CMS Care Compare 3

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

Pocahontas Community Hospital

Critical Access Hospitals · Pocahontas, IA

OwnershipGovernment - Local

CMS Certification Number161305

Location606 N W 7th StreetPocahontas, IA 50574 · Pocahontas County

Emergency services

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161350

Location1301 West Main StreetLake City, IA 51449 · Calhoun County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51449 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.

Referred Medical Equipment & Supplies CMS DME claims 21

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

10 suppliers55 claims79 services$5.76 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers13 claims13 services$1.04 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

5 suppliers22 claims22 services$67.11 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers22 claims22 services$23.91 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

6 suppliers23 claims23 services$22.58 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers26 claims150 services$3.22 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

5 suppliers13 claims13 services$9.19 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier32 claims974 services$7.39 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier29 claims6,536 services$0.47 avg. paid by Medicare

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155

Other-Enteral and Parenteral · category OB006N

1 supplier15 claims240 services$0.71 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$40.75 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers14 claims14 services$18.29 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier17 claims17 services$8.57 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers16 claims16 services$57.01 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$14.34 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

1 supplier13 claims16 services$15.25 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$187.25 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

2 suppliers15 claims15 services$119.31 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers17 claims1,110 services$0.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier14 claims14 services$38.19 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers19 claims19 services$23.27 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 13

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

AUDREY P HOOD T-LMHC

Counselor (Mental Health)