DR. CALEB PETERSON D.O
NPI 1629865340
Student in an Organized Health Care Education/Training Program in Jacksonville, FL
About Dr. Caleb Peterson D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CALEB PETERSON D.O (NPI 1629865340) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Caleb Peterson D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
JACKSONVILLE, FL 32204
JACKSONVILLE, FL 32204
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 Caleb Peterson's NPI number?
The NPI number for Caleb Peterson is 1629865340. It was assigned to this individual provider in the NPPES registry on April 24, 2025.
Where is Caleb Peterson located?
Caleb Peterson practices at 2627 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 308-7372.
What is Caleb 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 Caleb Peterson enrolled in Medicare?
Yes. Caleb Peterson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Caleb Peterson was last updated on April 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
