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KATIE MARIE PETERSON AGNP
NPI 1508265331
Nurse Practitioner in Saint Louis Park, MN

Active since August 18, 2014PECOS EnrolledAccepts Medicare Assignment
3931 LOUISIANA AVE S, SUITE E202, SAINT LOUIS PARK, MN 55426(952) 993-9184 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Marie Peterson Agnp NPPES

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

KATIE MARIE PETERSON AGNP (NPI 1508265331) is an individual nurse practitioner in Saint Louis Park, Minnesota, licensed in Minnesota (3298) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2014).

NPPES Registry Identity

NPI1508265331
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATIE MARIE PETERSONCredential: AGNP
Location Address3931 LOUISIANA AVE S, SUITE E202Saint Louis Park, MN 55426-5000
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-9184
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2014
Enumeration DateAugust 18, 2014
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1508265331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · 3298
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.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG0614152 (MN)
3931 LOUISIANA AVE S, Saint Louis Park, MN 55426
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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 Marie Peterson Agnp 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 ID5799007720
PECOS Enrollment IDI20141203000104
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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
32 services31 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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.

CAMILLE ASHLEY SCHWARZROCK NP-C
Nurse Practitioner
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
WILL C JENSEN MD
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
LESLIE PRATT
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900
AMANDA J CALVIN MD
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
MARI M UUTALA LPC
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3248
BROOKE RAEANNE VOGT PHYSICIAN ASSISTANT
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3180
DORY L NEUROCK NP
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
DR. MEILING HUA PARKER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230

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 1508265331. It was assigned to this individual provider in the NPPES registry on August 18, 2014.

Where is Katie Peterson located?

Katie Peterson practices at 3931 Louisiana Ave S Suite E202, Saint Louis Park, MN 55426. The listed phone number is (952) 993-9184.

What is Katie Peterson's specialty?

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

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 HealthPartners and Medica 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.

When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.