NICOLE M. PETERSON
NPI 1629643861
Student in an Organized Health Care Education/Training Program in Ponce, PR

Active since May 20, 2021PECOS Enrolled
PHSU 388 ZONA INDUSTRIAL REPARADA 2, PONCE, PR 00716(787) 840-2575 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole M. Peterson NPPES

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

NICOLE M. PETERSON (NPI 1629643861) is an individual student in an organized health care education/training program in Ponce, Puerto Rico and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629643861
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE M. PETERSON
Location AddressPHSU 388 ZONA INDUSTRIAL REPARADA 2Ponce, PR 00716
Mailing AddressPo Box 7004Ponce, PR 00732-7004 · (787) 840-2575
Sole ProprietorNo
Enumeration DateMay 20, 2021
NPPES CertifiedMay 3, 2021
NPI 1629643861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicole M. Peterson 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.

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.

Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
General Practice
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Pediatrics
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716
Student in an Organized Health Care Education/Training Program
PHSU 388 ZONA INDUSTRIAL REPARADA 2
PONCE, PR 00716

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 Nicole Peterson's NPI number?

The NPI number for Nicole Peterson is 1629643861. It was assigned to this individual provider in the NPPES registry on May 20, 2021.

Where is Nicole Peterson located?

Nicole Peterson practices at Phsu 388 Zona Industrial Reparada 2, Ponce, PR 00716. The listed phone number is (787) 840-2575.

What is Nicole Peterson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Peterson was last updated on May 20, 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.