PRESTON LEE PETERSON AGACNP
NPI 1801453030
Nurse Practitioner - Gerontology in Reno, NV

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

Active since May 22, 2019PECOS EnrolledAccepts Medicare Assignment

1500 E 2ND ST STE 100, RENO, NV 89502(775) 982-5003 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 20, 2021, Aug 21, 2019, May 22, 2019 (3 updates tracked since 2019).

On this page

About Preston Lee Peterson Agacnp NPPES

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

PRESTON LEE PETERSON AGACNP (NPI 1801453030) is an individual gerontology provider in Reno, Nevada, licensed in Nevada (822824) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801453030

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NamePRESTON LEE PETERSONCredential: AGACNP

Location Address1500 E 2ND ST STE 100Reno, NV 89502-1189

Mailing Address1155 Mill St # Mcm14Reno, NV 89502-1576 · (775) 982-5262 · Fax (775) 982-3900

Phone(775) 982-5003

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 22, 2019

Last NPPES UpdateMay 20, 20213 updates tracked since enumeration

NPPES CertifiedMay 20, 2021

✔ NPI 1801453030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in NV · 822824

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 822824 (NV)

1500 E 2ND ST STE 100, Reno, NV 89502

Open in Google Maps ↗

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

Preston Lee Peterson Agacnp 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 ID9739419391

PECOS Enrollment IDI20190924002708

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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

523 services348 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

132 services128 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services24 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

26 services24 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

21 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Northern Nevada Medical Center

Acute Care Hospitals · Sparks, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290032

Location2375 E Prater WaySparks, NV 89434 · Washoe County

Emergency services

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291313

Location801 East Williams AvenueFallon, NV 89406 · Churchill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89502 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

2 suppliers17 claims18 services$3.27 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

2 suppliers20 claims281 services$4.74 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$2.50 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

2 suppliers18 claims270 services$5.99 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

2 suppliers13 claims180 services$3.45 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier15 claims1,360 services$0.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ALEXANDRA SIDORSKI

Nurse Practitioner (Family)