LEISA ANNE PETERSON APRN
NPI 1639068026
Nurse Practitioner - Family in Minot, ND

Q: What is Leisa Peterson's NPI number?

The NPI number for Leisa Peterson is 1639068026. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Leisa Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leisa Peterson was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 30, 2025PECOS EnrolledAccepts Medicare Assignment

2305 37TH AVE SW, MINOT, ND 58701(701) 418-8000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Jun 30, 2025 (2 updates tracked since 2025).

On this page

About Leisa Anne Peterson Aprn NPPES

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

LEISA ANNE PETERSON APRN (NPI 1639068026) is an individual family provider in Minot, North Dakota, licensed in North Dakota (202900) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Trinity Hospitals, and maintains a secondary practice location in Antler.

NPPES Registry Identity

NPI1639068026

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEISA ANNE PETERSONCredential: APRN

Location Address2305 37TH AVE SWMinot, ND 58701-7669

Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 418-8000

Phone(701) 418-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 30, 2025

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1639068026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ND · 202900

2305 37TH AVE SW, Minot, ND 58701

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Secondary Practice Location 1

Location 12730 100th St NWAntler, ND 58711-9728 · Phone (701) 240-2264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Leisa Anne Peterson Aprn 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 ID2961903398

PECOS Enrollment IDI20250828001865

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.

Hospital Affiliations CMS Care Compare

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

Trinity Hospitals

Acute Care Hospitals · Minot, ND

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350006

Location407 3rd St SEMinot, ND 58701 · Ward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

MYCA L KLEESPIE CRNA

Nurse Anesthetist, Certified Registered