ROMA BRYAN PETERS FNP
NPI 1780021543
Nurse Practitioner - Family in Jackson, MS

Q: What is Roma Peters's NPI number?

The NPI number for Roma Peters is 1780021543. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Q: What is Roma Peters'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 Roma Peters was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 03, 2013PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5678(601) 984-5638 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Roma Bryan Peters Fnp NPPES

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

ROMA BRYAN PETERS FNP (NPI 1780021543) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R858105) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780021543

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROMA BRYAN PETERSCredential: FNP

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5678 · Fax (601) 984-5638

Phone(601) 984-5678

Fax(601) 984-5638

Sole ProprietorNo

Enumeration DateJune 3, 2013

Last NPPES UpdateMarch 9, 2015

✔ NPI 1780021543 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 MS · R858105

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 3

Medicare PINP01402428MS

Medicare PIN313657YJ5DMS

Medicaid01355242MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roma Bryan Peters Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 20

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

LAMAR DAVIS II M.D.

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