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PETERSON MEDICAL CLINICS, LLC
NPI 1699295774
Clinic/Center - Multi-Specialty in Grand Forks, ND

Active since June 21, 2017
3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000(701) 732-2501 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, Apr 16, 2024, Jan 2, 2020 and 3 more (6 updates tracked since 2017).

About Peterson Medical Clinics, Llc NPPES

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

PETERSON MEDICAL CLINICS, LLC (NPI 1699295774), doing business as Rural Psychiatry Associates, is a healthcare organization registered as a multi-specialty in Grand Forks, North Dakota and active in the NPI registry since June 2017. The organization maintains 2 additional practice locations and lists Thomas M Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1699295774
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePETERSON MEDICAL CLINICS, LLC
Location Address3674 S WASHINGTON STGrand Forks, ND 58201-5766
Mailing AddressPo Box 5210Grand Forks, ND 58206-5210
Phone(701) 205-3000
Fax(701) 732-2501
Organization SubpartNo
Authorized OfficialThomas M PetersonOwner · (701) 205-3000
Enumeration DateJune 21, 2017
Last NPPES UpdateMarch 27, 20266 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1699295774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
3674 S WASHINGTON ST, Grand Forks, ND 58201
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Other Names 1

Doing Business AsRural Psychiatry Associates

Secondary Practice Locations 2

Location 1519 Anne St NW Ste ABemidji, MN 56601-4277 · Phone (701) 205-3000 · Fax (701) 732-2501
Location 24501 15th Ave SW Ste 105Fargo, ND 58103-8956 · Phone (701) 205-3000 · Fax (701) 732-2501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peterson Medical Clinics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

78

Medicare enrollment records show 78 clinicians reassign Medicare billing to Peterson Medical Clinics, LLC, which bills Medicare for the services they deliver. Of these, 55 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker35
Nurse Practitioner31
Psychiatry8
Mental Health Counselor3
Family Practice1

Nearest to this location (20)

See all 78
Bailey Alvarez, LCSW
Clinical Social Worker
NPI 1912444936
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Rebecca Annis, LCSW
Clinical Social Worker
NPI 1801456876
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Andrina Brantley, LCSWA
Clinical Social Worker
NPI 1104564293
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Mackenzie Bullerjahn, LCSW
Clinical Social Worker
NPI 1528852464
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 732-2538
✔ PECOS✔ Accepts MedicareSame address
Andrew Burnett, PMHNP
Nurse Practitioner
NPI 1740170414
3674 S WASHINTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Kaylob Candey, LCSW
Clinical Social Worker
NPI 1811588353
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Anne Chambers, LCSW
Clinical Social Worker
NPI 1427718428
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Vanessa Delgado-Ramirez, LCSW
Clinical Social Worker
NPI 1518246925
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Mallory Devereaux, PMHNP-BC
Nurse Practitioner
NPI 1316738842
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 732-2538
✔ PECOS✔ Accepts MedicareSame address
Kara Dickinson, PMHNP-BC
Nurse Practitioner
NPI 1609679430
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Gerard Dickmu, PMHNP
Nurse Practitioner
NPI 1780419812
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Brandi Embacher, CSW
Clinical Social Worker
NPI 1922352426
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Brittni Gallup, PMHNP-BC
Nurse Practitioner
NPI 1740083849
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Kenneth Hodem, LPCC
Mental Health Counselor
NPI 1770173817
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Angela Kaiser, MA, LPCC
Mental Health Counselor
NPI 1134766561
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Natasha Krebs, PMHNP-BC
Nurse Practitioner
NPI 1659889798
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mills, PMHNP
Nurse Practitioner
NPI 1578424511
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Cathryn Sanders, PMHNP-BC
Nurse Practitioner
NPI 1477441186
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Timothy Peterson, MD
Family Practice
NPI 1134211568
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
Cheryl Repp-Tredway, LPCC, LCPC
Mental Health Counselor
NPI 1073990800
3674 S WASHINGTON ST
Grand Forks, ND 58201
(701) 205-3000
✔ PECOS✔ Accepts MedicareSame address
See all 78 clinicians

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

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 Peterson Medical Clinics, LLC's NPI number?

The NPI number for Peterson Medical Clinics, LLC is 1699295774. It was assigned to this organization in the NPPES registry on June 21, 2017. The provider is doing business as Rural Psychiatry Associates.

Where is Peterson Medical Clinics, LLC located?

Peterson Medical Clinics, LLC is located at 3674 S Washington St, Grand Forks, ND 58201. The listed phone number is (701) 205-3000.

What is Peterson Medical Clinics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Peterson Medical Clinics, LLC enrolled in Medicare?

Yes. Peterson Medical Clinics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Medical Clinics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 5 Medicare specialties reassign their Medicare billing to Peterson Medical Clinics, LLC. A 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 the clinician's services. The largest specialties are Clinical Social Worker (35), Nurse Practitioner (31) and Psychiatry (8). Of these, 55 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peterson Medical Clinics, LLC accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, Cigna Healthcare and HealthPartners and 3 other insurers list Peterson Medical Clinics, LLC 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 Peterson Medical Clinics, LLC was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.