NATHAN ALAN PETERSON FNP-C
NPI 1659971927
Nurse Practitioner in Sioux Falls, SD

Active since October 27, 2020PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
1210 W 18TH ST STE 100, SIOUX FALLS, SD 57104(605) 312-8500 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Oct 27, 2020 (2 updates tracked since 2020).

About Nathan Alan Peterson Fnp-c NPPES

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

NATHAN ALAN PETERSON FNP-C (NPI 1659971927) is an individual nurse practitioner in Sioux Falls, South Dakota, licensed in South Dakota (CP001863) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Sanford Luverne Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659971927
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNATHAN ALAN PETERSONCredential: FNP-C
Location Address1210 W 18TH ST STE 100Sioux Falls, SD 57104-4650
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 351-9362
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2020
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1659971927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in SD · CP001863
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001863 (SD)
1210 W 18TH ST STE 100, Sioux Falls, SD 57104

Accepted 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

Nathan Alan Peterson Fnp-c 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 ID8224441746
PECOS Enrollment IDI20201230001130
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services41 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Luverne Medical Center

Critical Access Hospitals · Luverne, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241371
Location1600 N Kniss AvenueLuverne, MN 56156 · Rock County
Emergency services

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430027
Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57104 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

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.

Neurological Surgery
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Nurse Practitioner (Family)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Neurological Surgery
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Physician Assistant
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Nurse Practitioner (Gerontology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Neurological Surgery
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Neurology)
1210 W 18TH ST STE 100
SIOUX FALLS, SD 57104

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 Nathan Peterson's NPI number?

The NPI number for Nathan Peterson is 1659971927. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Nathan Peterson located?

Nathan Peterson practices at 1210 W 18th St Ste 100, Sioux Falls, SD 57104. The listed phone number is (605) 312-8500.

What is Nathan Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nathan Peterson enrolled in Medicare?

Yes. Nathan Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathan Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Nathan Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Peterson affiliated with any hospitals?

According to CMS data, Nathan Peterson is affiliated with Sanford Luverne Medical Center, Sanford Usd Medical Center and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Peterson was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.