KATIE REBECCA PETERSON NP
NPI 1720818677
Nurse Practitioner - Family in Fergus Falls, MN

Q: What is Katie Peterson's NPI number?

The NPI number for Katie Peterson is 1720818677. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Katie Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Peterson was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 06, 2024PECOS Enrolled

111 W VERNON AVE, FERGUS FALLS, MN 56537(218) 736-8000 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Katie Rebecca Peterson Np NPPES

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

KATIE REBECCA PETERSON NP (NPI 1720818677) is an individual family provider in Fergus Falls, Minnesota, licensed in Minnesota (11934) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720818677

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE REBECCA PETERSONCredential: NP

Location Address111 W VERNON AVEFergus Falls, MN 56537-2741

Mailing Address919 W Linden StFergus Falls, MN 56537-1047 · (218) 205-7133

Phone(218) 736-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 6, 2024

NPPES CertifiedAugust 6, 2024

✔ NPI 1720818677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 11934

111 W VERNON AVE, Fergus Falls, MN 56537

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Rebecca Peterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315487568

PECOS Enrollment IDI20240913003056

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 2

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 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.

55 services55 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.

17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240052

Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County

Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241379

Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56537 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Leave this field empty

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.

RUBY RINGDAHL

Registered Nurse