JOLENE MARIE PETERSON LICSW
NPI 1750741328
Social Worker - Clinical in Minneapolis, MN
About Jolene Marie Peterson Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLENE MARIE PETERSON LICSW (NPI 1750741328) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (17806) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of University Of Minnesota Medical School (2005).
NPPES Registry Identity
Specialties & Licenses
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
Jolene Marie Peterson Licsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Jolene Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hennepin County Medical Center
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 Jolene Peterson's NPI number?
The NPI number for Jolene Peterson is 1750741328. It was assigned to this individual provider in the NPPES registry on February 25, 2016.
Where is Jolene Peterson located?
Jolene Peterson practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.
What is Jolene Peterson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jolene Peterson enrolled in Medicare?
Yes. Jolene 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.
Which organization bills Medicare for Jolene Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolene Peterson reassigns Medicare benefits to Hennepin Healthcare System, Inc (Minneapolis, MN). 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 Jolene Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolene Peterson accept?
Health plans from HealthPartners list Jolene 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 Jolene Peterson affiliated with any hospitals?
According to CMS data, Jolene Peterson is affiliated with Hennepin County Medical Center.
When was this NPI record last updated?
The NPPES record for Jolene Peterson was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jolene Marie Peterson, LICSW · NPI 1750741328
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 25, 2016.
## Identity
- **NPI:** 1750741328 (Entity type: Individual)
- **Enumerated:** February 25, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 17806 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 PARK AVE, Minneapolis, MN 55415-1623
- **Phone:** (612) 873-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hennepin Healthcare System, Inc (NPI 1033138136, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2005
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750741328) · Data from the CMS NPPES public registry.