ANDERS PETERSON
NPI 1790393825
Nurse Practitioner - Psychiatric/Mental Health in Sioux Falls, SD

Q: What is Anders Peterson's NPI number?

The NPI number for Anders Peterson is 1790393825. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Q: What is Anders Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Anders Peterson was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 15, 2020PECOS Enrolled

4500 N LEWIS AVE, SIOUX FALLS, SD 57104(605) 322-2980 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Anders Peterson NPPES

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

ANDERS PETERSON (NPI 1790393825) is an individual psychiatric/mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001775) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790393825

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameANDERS PETERSON

Location Address4500 N LEWIS AVESioux Falls, SD 57104-7111

Mailing Address4500 N Lewis AveSioux Falls, SD 57104-7111 · (605) 322-2980

Phone(605) 322-2980

Sole ProprietorNo

Enumeration DateJuly 15, 2020

Last NPPES UpdateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1790393825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in SD · CP001775✔ Licensed in IA · 71011345A✔ Licensed in NE · 113462

4500 N LEWIS AVE, Sioux Falls, SD 57104

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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 (PECOS)

Anders Peterson 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 57104 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

ADAM PETERSON M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)