DR. RANDY WAYNE PETERSON APRN, CNP
NPI 1730747221
Nurse Practitioner in Minneapolis, MN

Active since May 30, 2019PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
800 E 28TH ST # W4300, MINNEAPOLIS, MN 55407(612) 863-3110(612) 863-8927 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 9, 2024, Dec 12, 2023, Feb 24, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Randy Wayne Peterson Aprn, Cnp NPPES

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

DR. RANDY WAYNE PETERSON APRN, CNP (NPI 1730747221) is an individual nurse practitioner in Minneapolis, Minnesota, licensed in Minnesota (7781) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730747221
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. RANDY WAYNE PETERSONCredential: APRN, CNP
Location Address800 E 28TH ST # W4300Minneapolis, MN 55407-3723
Mailing AddressPo Box 43Minneapolis, MN 55440-0043 · (612) 262-1166
Fax(612) 863-8927
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020
Enumeration DateMay 30, 2019
Last NPPES UpdateFebruary 9, 20246 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2024
NPI 1730747221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · 7781
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License R214182-8 (MN)
800 E 28TH ST # W4300, Minneapolis, MN 55407

Secondary Practice Locations 2

Location 1716 South 7th Street, P1.600Minneapolis, MN 55415 · Phone (612) 873-3000 · Fax (612) 873-1946
Location 26545 France Ave S Ste 586Edina, MN 55435-2125 · Phone (952) 915-8700

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

Dr. Randy Wayne Peterson Aprn, Cnp 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 ID9830500701
PECOS Enrollment IDI20201125000062
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 10

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
194 services77 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
95 services18 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.
69 services43 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.
42 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
32 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
800 E 28TH ST # W4300
MINNEAPOLIS, MN 55407

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 Randy Peterson's NPI number?

The NPI number for Randy Peterson is 1730747221. It was assigned to this individual provider in the NPPES registry on May 30, 2019.

Where is Randy Peterson located?

Randy Peterson practices at 800 E 28th St # W4300, Minneapolis, MN 55407. The listed phone number is (612) 863-3110.

What is Randy Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Randy Peterson enrolled in Medicare?

Yes. Randy 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 Randy Peterson accept?

Health plans from HealthPartners and Medica list Randy 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.

Is Randy Peterson affiliated with any hospitals?

According to CMS data, Randy Peterson is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Randy Peterson was last updated on February 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.