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MICHELLE E PETERSEN RN, CS, FNP
NPI 1811972458
Nurse Practitioner - Family in Cameron, MO

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
55.36/100
CMS Quality Rating
1608 E EVERGREEN ST, SUITE A, CAMERON, MO 64429(816) 632-5424(816) 632-7094 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle E Petersen Rn, Cs, Fnp NPPES

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

MICHELLE E PETERSEN RN, CS, FNP (NPI 1811972458) is an individual family provider in Cameron, Missouri, licensed in Missouri (143970) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Cameron Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1811972458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE E PETERSENCredential: RN, CS, FNP
Location Address1608 E EVERGREEN ST, SUITE ACameron, MO 64429-2400
Mailing Address1600 E Evergreen St, Po Box 557Cameron, MO 64429-2400 · (816) 632-2101 · Fax (816) 649-3383
Phone(816) 632-5424
Fax(816) 632-7094
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 7, 2005
Last NPPES UpdateDecember 2, 2010
✔ NPI 1811972458 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 MO · 143970
1608 E EVERGREEN ST, Cameron, MO 64429
Open in Google Maps ↗

Other Identifiers 3

Medicaid425746724MO
Other500018369MO · Medicare Railroad
Medicare ID-Type Unspecified785A442MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Medica, UnitedHealthcare.Insurance ›

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

Michelle E Petersen Rn, Cs, Fnp 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 ID7214913417
PECOS Enrollment IDI20040628001260
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 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.
190 services101 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services68 patients

Hospital Affiliations CMS Care Compare 2

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

Cameron Regional Medical Center

Acute Care Hospitals · Cameron, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260057
Location1600 E EvergreenCameron, MO 64429 · Clinton County
Emergency services

New Liberty Hospital District

Acute Care Hospitals · Liberty, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260177
Location2525 Glenn Hendren DrLiberty, MO 64069 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64429 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.05
Improvement Activities40
Cost49.66

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers29 claims49 services$5.03 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims42 services$1.72 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 3

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

CAMERON REGIONAL MEDICAL CENTER INC
Clinic/Center
1608 E EVERGREEN ST, MEDICAL PLAZA I SUITE D
CAMERON, MO 64429
Clinton County (816) 632-3945
CAMERON REGIONAL MEDICAL CENTER, INC
Clinic/Center
1608 E EVERGREEN ST, MEDICAL PLAZA I, SUITE A
CAMERON, MO 64429
Clinton County (816) 632-5424
JAMES W NEELY DO
Family Medicine
1608 E EVERGREEN ST, SUITE A
CAMERON, MO 64429
Clinton County (816) 632-3945

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 Michelle Petersen's NPI number?

The NPI number for Michelle Petersen is 1811972458. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Michelle Petersen located?

Michelle Petersen practices at 1608 E Evergreen St Suite A, Cameron, MO 64429. The listed phone number is (816) 632-5424.

What is Michelle Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Petersen enrolled in Medicare?

Yes. Michelle Petersen 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.

What insurance does Michelle Petersen accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica and UnitedHealthcare list Michelle Petersen 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 Michelle Petersen affiliated with any hospitals?

According to CMS data, Michelle Petersen is affiliated with Cameron Regional Medical Center and New Liberty Hospital District.

When was this NPI record last updated?

The NPPES record for Michelle Petersen was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.