LEVI PETERS NP
NPI 1558057125
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, PA

Q: What is Levi Peters's NPI number?

The NPI number for Levi Peters is 1558057125. It was assigned to this individual provider in the NPPES registry on April 17, 2023.

Q: What is Levi Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Levi Peters was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 17, 2023PECOS EnrolledAccepts Medicare Assignment

964 ISABEL DR, LEBANON, PA 17042(717) 274-9777 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Apr 3, 2025, May 25, 2023 (3 updates tracked since 2023).

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About Levi Peters Np NPPES

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

LEVI PETERS NP (NPI 1558057125) is an individual psychiatric/mental health provider in Lebanon, Pennsylvania, licensed in Pennsylvania (SP027439) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains a secondary practice location in York.

NPPES Registry Identity

NPI1558057125

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameLEVI PETERSCredential: NP

Location Address964 ISABEL DRLebanon, PA 17042-7482

Mailing Address601 Memory LnYork, PA 17402-2231

Phone(717) 274-9777

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateApril 17, 2023

Last NPPES UpdateMay 8, 20253 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1558057125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP027439

964 ISABEL DR, Lebanon, PA 17042

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Secondary Practice Location 1

Location 11407 Williams RdYork, PA 17402-9000 · Phone (717) 851-6340

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Levi Peters Np 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 ID6305208836

PECOS Enrollment IDI20230816001418

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.

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.

126 services44 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

88 services31 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

DR. BRYAN GOTTLIEB PSY.D.

Psychologist (Clinical)