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AMY K. PETERSEN D.O.
NPI 1730274523
Pediatrics in West Des Moines, IA

Active since October 04, 2006PECOS Enrolled
6800 LAKE DR STE 260, WEST DES MOINES, IA 50266(515) 630-5022(515) 630-5026 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy K. Petersen D.o. NPPES

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

AMY K. PETERSEN D.O. (NPI 1730274523) is an individual pediatrics provider in West Des Moines, Iowa, licensed in Iowa (3913) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730274523
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMY K. PETERSENCredential: D.O.
Location Address6800 LAKE DR STE 260West Des Moines, IA 50266-2504
Mailing Address6800 Lake Dr Ste 260West Des Moines, IA 50266-2504 · (515) 630-5022 · Fax (515) 630-5026
Phone(515) 630-5022
Fax(515) 630-5026
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1730274523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IA · 3913
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6800 LAKE DR STE 260, West Des Moines, IA 50266
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy K. Petersen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Amy Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Pediatrics And Family Allergy, Plc
Same address
Allergy
6800 LAKE DRIVE, #260
West Des Monies, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 2 clinicians in this Medicare group
NPI 1598325151 (515) 822-3192

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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

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

TARA J FEDERLY M.D.
Allergy & Immunology (Allergy)
6800 LAKE DR STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 630-5022

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 Amy Petersen's NPI number?

The NPI number for Amy Petersen is 1730274523. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Amy Petersen located?

Amy Petersen practices at 6800 Lake Dr Ste 260, West Des Moines, IA 50266. The listed phone number is (515) 630-5022.

What is Amy Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Petersen enrolled in Medicare?

Yes. Amy Petersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Petersen reassigns Medicare benefits to Cornerstone Pediatrics And Family Allergy, Plc (West Des Monies, IA). The 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 Amy Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Petersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Amy 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 Amy Petersen was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.