ALEXA RENEE PETERSON DO
NPI 1871171975
Emergency Medicine in Clarksville, TN
About Alexa Renee Peterson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXA RENEE PETERSON DO (NPI 1871171975) is an individual emergency medicine provider in Clarksville, Tennessee, licensed in Tennessee (5784) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexa Renee Peterson Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alexa Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Franklin, TN 37067
- Reassigned Medicare billing, Tennessee enrollment
- 28 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Williamson Medical Center
Acute Care Hospitals · Franklin, TNTennova Healthcare-Clarksville
Acute Care Hospitals · Clarksville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alexa Peterson's NPI number?
The NPI number for Alexa Peterson is 1871171975. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Alexa Peterson located?
Alexa Peterson practices at 651 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 502-1000.
What is Alexa Peterson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Alexa Peterson enrolled in Medicare?
Yes. Alexa 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.
Which organizations bill Medicare for Alexa Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Peterson reassigns Medicare benefits to 2 organizations: Emergi-Trust (Franklin, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 Alexa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Alexa Peterson affiliated with any hospitals?
According to CMS data, Alexa Peterson is affiliated with Williamson Medical Center and Tennova Healthcare-Clarksville.
When was this NPI record last updated?
The NPPES record for Alexa Peterson was last updated on October 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alexa Renee Peterson, DO · NPI 1871171975
Emergency Medicine physician in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1871171975 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5784 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 651 DUNLOP LN, Clarksville, TN 37040-5015
- **Phone:** (931) 502-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergi-Trust (NPI 1497725873, Franklin, TN); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 19, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1871171975) · Data from the CMS NPPES public registry.