DALE R PETERSEN
NPI 1841274255
Internal Medicine in Minneapolis, MN
About Dale R Petersen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DALE R PETERSEN (NPI 1841274255) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (32723) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dale R Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dale Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55403
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Dale Petersen's NPI number?
The NPI number for Dale Petersen is 1841274255. It was assigned to this individual provider in the NPPES registry on November 30, 2005.
Where is Dale Petersen located?
Dale Petersen practices at 2001 Blaisdell Ave Park Nicollet Clinic Minneapolis, Minneapolis, MN 55404. The listed phone number is (952) 993-8000.
What is Dale Petersen's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Dale Petersen enrolled in Medicare?
Yes. Dale Petersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dale Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dale Petersen reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dale Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dale Petersen was last updated on October 20, 2011. 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.
# Dale R Petersen · NPI 1841274255
Internal Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 30, 2005.
## Identity
- **NPI:** 1841274255 (Entity type: Individual)
- **Enumerated:** November 30, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 32723 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 BLAISDELL AVE, PARK NICOLLET CLINIC MINNEAPOLIS, Minneapolis, MN 55404-2414
- **Phone:** (952) 993-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Clinic (NPI 1912315144, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2011
- **Other identifiers:** Medicare UPIN E46685 (MN); Medicare ID-Type Unspecified 110001068 (MN); Medicaid 728595700 (MN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1841274255) · Data from the CMS NPPES public registry.