MS. GENEVA A. PETERSEN CNP
NPI 1750321667
Nurse Practitioner - Family in Bloomington, IL

Q: What is Geneva Petersen's NPI number?

The NPI number for Geneva Petersen is 1750321667. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Geneva Petersen'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 Geneva Petersen was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 08, 2006PECOS EnrolledAccepts Medicare Assignment

1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701(309) 454-3456(309) 454-6977 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, Apr 29, 2021, Sep 26, 2019 (3 updates tracked since 2019).

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About Ms. Geneva A. Petersen Cnp NPPES

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

MS. GENEVA A. PETERSEN CNP (NPI 1750321667) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209-004837) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1750321667

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. GENEVA A. PETERSENCredential: CNP

Location Address1505 EASTLAND DR STE 2200Bloomington, IL 61701-7910

Mailing Address1505 Eastland Dr Ste 2200Bloomington, IL 61701-7910 · (309) 454-3456 · Fax (309) 454-6977

Phone(309) 454-3456

Fax(309) 454-6977

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 8, 2006

Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1750321667 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 IL · 209-004837

1505 EASTLAND DR STE 2200, Bloomington, IL 61701

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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

Ms. Geneva A. Petersen 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 ID3971595620

PECOS Enrollment IDI20040401000791

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

21 services21 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.

18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 6

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

DR. JARED K ZOTZ M.D.

Obstetrics & Gynecology