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MRS. HANNAH KALEIGH PETERSEN AGPCNP-BC
NPI 1518465707
Nurse Practitioner - Adult Health in Columbia, IL

Active since January 23, 2018PECOS Enrolled
123 WEDGEWOOD DR, COLUMBIA, IL 62236(618) 281-2233(618) 281-2244 Get Directions Write a Review

NPPES record last updated: February 14, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 14, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Mrs. Hannah Kaleigh Petersen Agpcnp-bc NPPES

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

MRS. HANNAH KALEIGH PETERSEN AGPCNP-BC (NPI 1518465707) is an individual adult health provider in Columbia, Illinois, licensed in Missouri (2017036299) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in High Ridge.

NPPES Registry Identity

NPI1518465707
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. HANNAH KALEIGH PETERSENCredential: AGPCNP-BC
Location Address123 WEDGEWOOD DRColumbia, IL 62236-1052
Mailing Address123 Wedgewood DrColumbia, IL 62236-1052 · (618) 281-2233 · Fax (618) 281-2244
Phone(618) 281-2233
Fax(618) 281-2244
Sole ProprietorNo
Enumeration DateJanuary 23, 2018
Last NPPES UpdateFebruary 14, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2021
✔ NPI 1518465707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2017036299
Also ListedRegistered NurseTaxonomy 163W00000X · License 2012007085 (MO)
123 WEDGEWOOD DR, Columbia, IL 62236
Open in Google Maps ↗

Secondary Practice Location 1

Location 11688 Old Gravois RdHigh Ridge, MO 63049 · Phone (636) 677-6200 · Fax (636) 376-9400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Hannah Kaleigh Petersen Agpcnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62236 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%32 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$1.99 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

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

FAMILY MEDICINE IN COLUMBIA
Family Medicine
123 WEDGEWOOD DR
COLUMBIA, IL 62236
Monroe County (618) 281-2233

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 Hannah Petersen's NPI number?

The NPI number for Hannah Petersen is 1518465707. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Hannah Petersen located?

Hannah Petersen practices at 123 Wedgewood Dr, Columbia, IL 62236. The listed phone number is (618) 281-2233.

What is Hannah Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Hannah Petersen enrolled in Medicare?

Yes. Hannah Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hannah Petersen was last updated on February 14, 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.