PAMELA PETERSON
NPI 1700330503
Counselor - Addiction (Substance Use Disorder) in Duluth, MN

Active since August 09, 2016PECOS EnrolledAccepts Medicare Assignment
332 W SUPERIOR ST STE 300, DULUTH, MN 55802(218) 722-4379 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 15, 2021, Feb 23, 2021, Aug 9, 2016 (3 updates tracked since 2016).

About Pamela Peterson NPPES

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

PAMELA PETERSON (NPI 1700330503) is an individual addiction (substance use disorder) provider in Duluth, Minnesota, licensed in Minnesota (304004) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700330503
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePAMELA PETERSON
Location Address332 W SUPERIOR ST STE 300Duluth, MN 55802
Mailing Address1900 Silver Lake Road Nw, Suite 110New Brighton, MN 55112 · (651) 379-1718
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 9, 2016
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
NPI 1700330503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 304004
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 26251 (MN)
332 W SUPERIOR ST STE 300, Duluth, MN 55802

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

Pamela Peterson 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 ID7416364500
PECOS Enrollment IDI20210408001112
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Counselor (Professional)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Social Worker (Clinical)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Counselor (Mental Health)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Social Worker (Clinical)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Pharmacist
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Counselor (Addiction (Substance Use Disorder))
332 W SUPERIOR ST STE 300
DULUTH, MN 55802
Social Worker (Clinical)
332 W SUPERIOR ST STE 300
DULUTH, MN 55802

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 Pamela Peterson's NPI number?

The NPI number for Pamela Peterson is 1700330503. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Pamela Peterson located?

Pamela Peterson practices at 332 W Superior St Ste 300, Duluth, MN 55802. The listed phone number is (218) 722-4379.

What is Pamela Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Pamela Peterson enrolled in Medicare?

Yes. Pamela 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 Pamela Peterson accept?

Health plans from HealthPartners list Pamela 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 Pamela Peterson was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.