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JACOB CHRISTOPHER PETERSON M.D.
NPI 1679954028
Family Medicine in Holdrege, NE

Active since June 11, 2015PECOS Enrolled
516 W 14TH AVE STE 100, HOLDREGE, NE 68949(308) 995-4431 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2023, Mar 30, 2021 (2 updates tracked since 2021).

About Jacob Christopher Peterson M.d. NPPES

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

JACOB CHRISTOPHER PETERSON M.D. (NPI 1679954028) is an individual family medicine provider in Holdrege, Nebraska, licensed in Nebraska (29451) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679954028
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB CHRISTOPHER PETERSONCredential: M.D.
Location Address516 W 14TH AVE STE 100Holdrege, NE 68949-1215
Mailing Address516 W 14th Ave Ste 100Holdrege, NE 68949-1215 · (308) 995-4431
Phone(308) 995-4431
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 9, 2021
✔ NPI 1679954028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 29451
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
516 W 14TH AVE STE 100, Holdrege, NE 68949
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Christopher Peterson M.d. 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.

Medicare Billing Reassignments

8

Medicare enrollment records show Jacob Peterson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holdrege Medical Clinic, P.C.
Same address
Internal Medicine
516 W 14TH AVE, STE 100
Holdrege, NE 68949
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Holdrege Medical Clinic PC
  • 14 clinicians in this Medicare group
NPI 1427089010 (308) 995-4431
First Care Medical, PC
23 mi
Clinic/Center
2605 2ND AVE
Kearney, NE 68847
  • Reassigned Medicare billing, Nebraska enrollment
  • 4 clinicians in this Medicare group
NPI 1295834968 (308) 236-7016
Twin Rivers Urgent Care LLC
62 mi
Family Medicine
720 N WEBB RD
Grand Island, NE 68803
  • Reassigned Medicare billing, Nebraska enrollment
  • 23 clinicians in this Medicare group
NPI 1639248560 (308) 384-2500
Jennie M Melham Memorial Medical Center Inc
68 mi
Nurse Anesthetist, Certified Registered
145 MEMORIAL DR
Broken Bow, NE 68822
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1538232244 (Nebraska)
  • 31 clinicians in this Medicare group
NPI 1366659773 (308) 872-4100
Fillmore County Hospital
94 mi
Orthopaedic Surgery
1900 F ST
Geneva, NE 68361
  • Reassigned Medicare billing, Nebraska enrollment
  • 54 clinicians in this Medicare group
NPI 1508956467 (402) 759-3167
Avera St Anthonys Hospital
144 mi
Critical Access
300 N 2ND ST
O'neill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • 86 clinicians in this Medicare group
NPI 1891738936 (402) 336-2611
West Holt Memorial Hospital
145 mi
Critical Access
406 W NEELY ST
Atkinson, NE 68713
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1922173061 (Nebraska), NPI 1366492472 (Nebraska)
  • 8 clinicians in this Medicare group
NPI 1295785442 (402) 925-2811
Sacred Heart Health Services
158 mi
Family Medicine
1503 MAIN ST
Creighton, NE 68729
  • Reassigned Medicare billing, Nebraska enrollment
  • 36 clinicians in this Medicare group
NPI 1083918171 (402) 358-5700

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 68949 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims30 services$6.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$110.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN THELEN D.O.
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 955-4431
SHANE MICHAEL SMITH M.D.
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 995-4431
DR. KRISTA MARIE STOECKER M.D.
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 995-4431
HOLDREGE MEDICAL CLINIC, P.C.
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 995-4431
AUSTIN JAMES BURT PA-C
Physician Assistant
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 995-4431
BENJAMIN EGGER D.O.
Family Medicine
516 W 14TH AVE STE 100
HOLDREGE, NE 68949
Phelps County (308) 995-4431

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 Jacob Peterson's NPI number?

The NPI number for Jacob Peterson is 1679954028. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Jacob Peterson located?

Jacob Peterson practices at 516 W 14th Ave Ste 100, Holdrege, NE 68949. The listed phone number is (308) 995-4431.

What is Jacob Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Peterson enrolled in Medicare?

Yes. Jacob Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Peterson reassigns Medicare benefits to 8 organizations: Holdrege Medical Clinic, P.C. (Holdrege, NE), First Care Medical, PC (Kearney, NE), Twin Rivers Urgent Care LLC (Grand Island, NE), Jennie M Melham Memorial Medical Center Inc (Broken Bow, NE), Fillmore County Hospital (Geneva, NE) and 3 more organizations, listed in the Medicare section above. Each 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 Jacob Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Peterson was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.