DR. PATTI LYNN PETERSON M.D.
NPI 1780678318
Psychiatry & Neurology - Neurology in Kingsford, MI

Q: What is Patti Peterson's NPI number?

The NPI number for Patti Peterson is 1780678318. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Patti Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Patti Peterson was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 09, 2005PECOS Enrolled

1205 PYLE DR, KINGSFORD, MI 49802(906) 779-7100(906) 779-7101 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Patti Lynn Peterson M.d. NPPES

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

DR. PATTI LYNN PETERSON M.D. (NPI 1780678318) is an individual neurology provider in Kingsford, Michigan, licensed in Michigan (4301045762) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780678318

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameDR. PATTI LYNN PETERSONCredential: M.D.

Location Address1205 PYLE DRKingsford, MI 49802-1132

Mailing Address1205 Pyle DrKingsford, MI 49802-1132 · (906) 779-7100 · Fax (906) 779-7101

Phone(906) 779-7100

Fax(906) 779-7101

Sole ProprietorYes

Enumeration DateSeptember 9, 2005

Last NPPES UpdateJuly 6, 2012

✔ NPI 1780678318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in MI · 4301045762

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1205 PYLE DR, Kingsford, MI 49802

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Other Identifiers 3

Medicare ID-Type UnspecifiedN49340001MI

Medicaid32569100MI

Medicare UPINB48655MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patti Lynn Peterson M.d. 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 49802 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

DICKINSON NEUROLOGY ASSOCIATES P C

Specialist