1. Home
  2. Directory
  3. Missouri
  4. Sedalia
  5. Nurse Practitioner
  6. NPI Profile

MS. ANDREA NICOLE PETERSEN DNP, FNP
NPI 1669083382
Nurse Practitioner - Family in Sedalia, MO

Active since August 14, 2020PECOS EnrolledAccepts Medicare Assignment
2410 S LIMIT AVE, SEDALIA, MO 65301(573) 814-1170(573) 530-1037 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2024, Aug 14, 2020 (2 updates tracked since 2020).

About Ms. Andrea Nicole Petersen Dnp, Fnp NPPES

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

MS. ANDREA NICOLE PETERSEN DNP, FNP (NPI 1669083382) is an individual family provider in Sedalia, Missouri, licensed in Missouri (2020026948) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669083382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. ANDREA NICOLE PETERSENCredential: DNP, FNP
Location Address2410 S LIMIT AVESedalia, MO 65301-6910
Mailing Address807 La Grand DrSedalia, MO 65301-7965 · (660) 596-1605
Phone(573) 814-1170
Fax(573) 530-1037
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2020
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1669083382 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 MO · 2020026948
2410 S LIMIT AVE, Sedalia, MO 65301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Andrea Nicole Petersen Dnp, Fnp 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 ID8921532318
PECOS Enrollment IDI20241107001920
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Tree Medical Group LLC
51 mi
Family Medicine
200 CORPORATE LAKE DR
Columbia, MO 65203
  • Reassigned Medicare billing, Missouri enrollment
  • 12 clinicians in this Medicare group
NPI 1740858562 (573) 814-1170

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65301 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Andrea Petersen's NPI number?

The NPI number for Andrea Petersen is 1669083382. It was assigned to this individual provider in the NPPES registry on August 14, 2020.

Where is Andrea Petersen located?

Andrea Petersen practices at 2410 S Limit Ave, Sedalia, MO 65301. The listed phone number is (573) 814-1170.

What is Andrea Petersen's specialty?

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

Is Andrea Petersen enrolled in Medicare?

Yes. Andrea Petersen 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.

Which organization bills Medicare for Andrea Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Petersen reassigns Medicare benefits to Big Tree Medical Group LLC (Columbia, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrea Petersen 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.

When was this NPI record last updated?

The NPPES record for Andrea Petersen was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.