MOLLY PETERSEN APRN
NPI 1679987432
Nurse Practitioner - Psychiatric/Mental Health in Omaha, NE

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
17670 WELCH PLZ STE 102, OMAHA, NE 68135(402) 403-5222(402) 403-5233 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 28, 2017 (3 updates tracked since 2017).

About Molly Petersen Aprn NPPES

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

MOLLY PETERSEN APRN (NPI 1679987432) is an individual psychiatric/mental health provider in Omaha, Nebraska, licensed in Nebraska (111672) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1679987432
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMOLLY PETERSENCredential: APRN
Location Address17670 WELCH PLZ STE 102Omaha, NE 68135-3805
Mailing Address12077 Elmwood Dr.Bennington, NE 68007 · (402) 332-7648
Fax(402) 403-5233
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1679987432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NE · 111672
Also ListedNurse PractitionerTaxonomy 363L00000X · License 111672 (NE)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 111672 (NE)
17670 WELCH PLZ STE 102, Omaha, NE 68135

Secondary Practice Location 1

Location 12255 S 132nd St Ste 200Omaha, NE 68144-2573 · Phone (402) 334-1122 · Fax (402) 334-8171

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

Molly Petersen 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 ID9436378890
PECOS Enrollment IDI20140917000192
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

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 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.
129 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68135 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.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
17670 WELCH PLZ STE 102
OMAHA, NE 68135
Social Worker (Clinical)
17670 WELCH PLZ STE 102
OMAHA, NE 68135

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 Molly Petersen's NPI number?

The NPI number for Molly Petersen is 1679987432. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Molly Petersen located?

Molly Petersen practices at 17670 Welch Plz Ste 102, Omaha, NE 68135. The listed phone number is (402) 403-5222.

What is Molly Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Molly Petersen enrolled in Medicare?

Yes. Molly 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.

What insurance does Molly Petersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 4 other insurers list Molly 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 Molly Petersen was last updated on July 21, 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.