HEIKE PETERSEN NP
NPI 1720406960
Nurse Practitioner - Family in Sidney, NE

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
62.62/100
CMS Quality Rating
1000 POLE CREEK XING, SIDNEY, NE 69162(308) 254-5825 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2024, Aug 3, 2020, Jul 14, 2020 (3 updates tracked since 2020).

About Heike Petersen Np NPPES

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

HEIKE PETERSEN NP (NPI 1720406960) is an individual family provider in Sidney, Nebraska, licensed in Nebraska (115291) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Sidney Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1720406960
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEIKE PETERSENCredential: NP
Location Address1000 POLE CREEK XINGSidney, NE 69162-2901
Mailing Address1000 Pole Creek XingSidney, NE 69162-2901 · (308) 254-5825
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 4, 2014
Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1720406960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NE · 115291✔ Licensed in CO · 0995674
Also ListedRegistered NurseTaxonomy 163W00000X · License 0173599 (CO)
1000 POLE CREEK XING, Sidney, NE 69162

Accepted 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

Heike Petersen Np 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 ID9638594658
PECOS Enrollment IDI20240613000122
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

2

Medicare enrollment records show Heike Petersen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1000 POLE CREEK CROSSING
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • 70 clinicians in this Medicare group
Primary Care
525 HATHAWAY STREET
Fairplay, CO 80440
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1730258971 (Colorado)
  • 206 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
52 services37 patients
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.
47 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69162 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40
Cost18.43

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.

Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Occupational Therapist
1000 POLE CREEK XING
SIDNEY, NE 69162
Physical Therapy Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Speech-Language Pathologist
1000 POLE CREEK XING
SIDNEY, NE 69162
Nurse Practitioner (Family)
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162
Ambulance
1000 POLE CREEK XING
SIDNEY, NE 69162
Physician Assistant
1000 POLE CREEK XING
SIDNEY, NE 69162

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 Heike Petersen's NPI number?

The NPI number for Heike Petersen is 1720406960. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Where is Heike Petersen located?

Heike Petersen practices at 1000 Pole Creek Xing, Sidney, NE 69162. The listed phone number is (308) 254-5825.

What is Heike Petersen's specialty?

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

Is Heike Petersen enrolled in Medicare?

Yes. Heike 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 organizations bill Medicare for Heike Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heike Petersen reassigns Medicare benefits to 2 organizations: Cheyenne County Hospital Association Inc (Sidney, NE) and Salida Hospital District (Fairplay, CO). 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 Heike Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heike Petersen accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and UnitedHealthcare list Heike 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.

Is Heike Petersen affiliated with any hospitals?

According to CMS data, Heike Petersen is affiliated with Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Heike Petersen was last updated on September 20, 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.