KRISTEN NOELE PETERSEN APRN
NPI 1659831568
Nurse Practitioner - Pediatrics in Madisonville, KY

Q: What is Kristen Petersen's NPI number?

The NPI number for Kristen Petersen is 1659831568. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Kristen Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Petersen was last updated on December 7, 2020. 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.

Active since March 25, 2019PECOS Enrolled

200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-7328(270) 825-6666 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristen Noele Petersen Aprn NPPES

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

KRISTEN NOELE PETERSEN APRN (NPI 1659831568) is an individual pediatrics provider in Madisonville, Kentucky, licensed in Kentucky (3013211) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659831568

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISTEN NOELE PETERSENCredential: APRN

Location Address200 CLINIC DRMadisonville, KY 42431-1661

Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-7328 · Fax (270) 825-6666

Phone(270) 825-7328

Fax(270) 825-6666

Sole ProprietorYes

Enumeration DateMarch 25, 2019

Last NPPES UpdateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1659831568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in KY · 3013211

200 CLINIC DR, Madisonville, KY 42431

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Noele Petersen Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

HEATHER RAE PENDLEY

Case Manager/Care Coordinator