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JEFFREY J PETERSON MD
NPI 1497832513
Emergency Medicine in St Paul, MN

Active since November 01, 2006PECOS Enrolled
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY, ST PAUL, MN 55102(651) 220-6914 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey J Peterson Md NPPES

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

JEFFREY J PETERSON MD (NPI 1497832513) is an individual emergency medicine provider in St Paul, Minnesota, licensed in Minnesota (39849) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497832513
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJEFFREY J PETERSONCredential: MD
Location Address345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCYSt Paul, MN 55102
Mailing Address2910 Centre Pointe Drive, Childrens Health Care 35 121aRoseville, MN 55113 · (651) 855-2327 · Fax (651) 855-2310
Phone(651) 220-6914
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1497832513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MN · 39849
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 39849 (MN)
Also ListedPediatricsTaxonomy 208000000X · License 39849 (MN)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 39849 (MN)
345 NORTH SMITH AVENUE, St Paul, MN 55102
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey J Peterson Md 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 Reassignment

Medicare enrollment records show Jeffrey Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care
Same address
Multi-Specialty
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Children's Health Care
  • 551 clinicians in this Medicare group
NPI 1225132566 (651) 220-6000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

KELLEE A STREET MD
Emergency Medicine
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY
ST PAUL, MN 55102
Ramsey County (651) 220-6914
LINDA ELLEN MURRANS MA CCC A
Hearing Instrument Specialist
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS AUDIOLOGY ST PAUL
ST PAUL, MN 55102
Ramsey County (651) 220-6880
DR. CAROL L HARGATE CPNP
Nurse Practitioner (Primary Care)
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL
ST PAUL, MN 55102
Ramsey County (651) 220-6914
CHILDRENS HEALTH CARE
Clinic/Center (Multi-Specialty)
345 NORTH SMITH AVENUE, CHILDRENS SPECIALTY CLINICS STPL
ST PAUL, MN 55102
Ramsey County (651) 220-6000
DONNA M MILNER MD
Emergency Medicine
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS
ST PAUL, MN 55102
Ramsey County (651) 220-6914
MARSHA L MOREEN CPNP
Nurse Practitioner
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS EMERGENCY PHYSICIANS
ST PAUL, MN 55102
Ramsey County (651) 220-6914
MARIYA V BOWEN
Nurse Practitioner
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS & CLINICS OF MN EMERG PHYS STPL
ST PAUL, MN 55102
Ramsey County (651) 220-6914
JEFFREY S SCHIFF MD
Emergency Medicine
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY
ST PAUL, MN 55102
Ramsey County (651) 220-6914

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 Jeffrey Peterson's NPI number?

The NPI number for Jeffrey Peterson is 1497832513. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Jeffrey Peterson located?

Jeffrey Peterson practices at 345 North Smith Avenue Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102. The listed phone number is (651) 220-6914.

What is Jeffrey Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jeffrey Peterson enrolled in Medicare?

Yes. Jeffrey Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Peterson reassigns Medicare benefits to Childrens Health Care (St Paul, MN). The 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 Jeffrey Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Peterson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.