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ELYSIA PETERSON PMHNP
NPI 1821448648
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, MN

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425(952) 767-2267(952) 767-0782 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 4, 2024, Jul 29, 2019, Jun 13, 2016 (3 updates tracked since 2016).

About Elysia Peterson Pmhnp NPPES

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

ELYSIA PETERSON PMHNP (NPI 1821448648) is an individual psychiatric/mental health provider in Bloomington, Minnesota, licensed in Minnesota (CNP4557) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821448648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELYSIA PETERSONCredential: PMHNP
Location Address1801 AMERICAN BLVD EBloomington, MN 55425-1232
Mailing Address1801 American Blvd EBloomington, MN 55425-1232 · (952) 767-2267
Phone(952) 767-2267
Fax(952) 767-0782
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1821448648 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
License✔ Licensed in MN · CNP4557
1801 AMERICAN BLVD E, Bloomington, MN 55425
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Elysia Peterson Pmhnp 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 ID6901192699
PECOS Enrollment IDI20160906002407
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 55425 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

MICHAELA THOMAS
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
CHARLOTTE MOORE
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (651) 789-6375
ZHAMIAH BAILEY
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 693-9623
DASON WILLIAM MATTHIESEN JR.
Behavior Technician
1801 AMERICAN BLVD E, SUITE B
BLOOMINGTON, MN 55425
Hennepin County (612) 331-9413
LYDIA NORMAN
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
KATHRYN ISABELLE MITCHELL
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
YASID PINO GUTIERREZ
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267
SUREYA ALI
Behavior Technician
1801 AMERICAN BLVD E
BLOOMINGTON, MN 55425
Hennepin County (952) 767-2267

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 Elysia Peterson's NPI number?

The NPI number for Elysia Peterson is 1821448648. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Elysia Peterson located?

Elysia Peterson practices at 1801 American Blvd E, Bloomington, MN 55425. The listed phone number is (952) 767-2267.

What is Elysia Peterson's specialty?

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

Is Elysia Peterson enrolled in Medicare?

Yes. Elysia Peterson 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 Elysia Peterson accept?

Health plans from HealthPartners list Elysia Peterson 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.

When was this NPI record last updated?

The NPPES record for Elysia Peterson was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.