MRS. JENNIFER LOUISE PETERSEN NURSE PRACTITIONER
NPI 1629053343
Nurse Practitioner - Family in Fort Drum, NY

NPI Status: Active since December 15, 2005

Contact Information

11050 MOUNT BELVEDERE BLVD
USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-4025
Fax: (315) 772-9498

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About JENNIFER PETERSEN

This page provides the complete NPI Profile along with additional information for Jennifer Petersen, a provider established in Fort Drum, New York with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1629053343 assigned on December 2005. The practitioner's primary taxonomy code is 363LF0000X with license number 44888 (KS). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1629053343
Provider Name
MRS. JENNIFER LOUISE PETERSEN NURSE PRACTITIONER
Gender
Female
Entity Type
Individual
Location Address
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602
Location Phone
(315) 772-4025
Location Fax
(315) 772-9498
Mailing Address
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602
Mailing Phone
(315) 772-4025
Mailing Fax
(315) 772-9498
Is Sole Proprietor?
Yes
Enumeration Date
12-15-2005
Last Update Date
07-08-2007
Code Navigator

A nurse practitioner (NP) like Jennifer Petersen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
44888
License State
KS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629053343, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 5 + 6 + 3 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1629053343.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Pediatrics (Adolescent Medicine)
11050 MOUNT BELVEDERE BLVD, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Military Health Care Provider
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Podiatrist
11050 MOUNT BELVEDERE BLVD, USAMEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Social Worker (Clinical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physical Therapist
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Dietitian, Registered
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Occupational Therapist
11050 MOUNT BELVEDERE BLVD, USA MEDDAC, ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Counselor (Addiction (Substance Use Disorder))
11050 MOUNT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Family Medicine
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MOUNT BELVEDERE BLVD
WATERTOWN, NY 13602
Physician Assistant
11050 MOUNT BELVEDERE BLVD, USA MEDDAC/ CREDENTIALS
FORT DRUM, NY 13602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629053343, enumerated as an "individual" on December 15, 2005.

The provider is located at 11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS FORT DRUM, NY 13602 and the phone number is (315) 772-4025.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.