1. Home
  2. Directory
  3. Kentucky
  4. Shelbyville
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE DAWN PETERSON
NPI 1871257741
Nurse Practitioner - Family in Shelbyville, KY

Active since October 27, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
615 WASHINGTON ST, SHELBYVILLE, KY 40065(502) 647-4668 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Dawn Peterson NPPES

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

MICHELLE DAWN PETERSON (NPI 1871257741) is an individual family provider in Shelbyville, Kentucky, licensed in Kentucky (3016901) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871257741
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE DAWN PETERSON
Location Address615 WASHINGTON STShelbyville, KY 40065-1131
Mailing Address615 Washington StShelbyville, KY 40065-1131 · (502) 647-4668
Phone(502) 647-4668
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1871257741 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 KY · 3016901
615 WASHINGTON ST, Shelbyville, KY 40065
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Dawn Peterson 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 ID5991183964
PECOS Enrollment IDI20220602002257
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 3

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 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.
44 services43 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
15 services15 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

OPERATION CARE INC.
Clinic/Center (Primary Care)
615 WASHINGTON ST
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668
MRS. FRANCIS LEONARD P.A.C
Physician Assistant
615 WASHINGTON ST
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668
MR. BARRY J CLEARY PA-C
Physician Assistant (Medical)
615 WASHINGTON ST
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668
MR. DAVID PAUL DOEHNERT PA-C
Physician Assistant
615 WASHINGTON ST, MERCY MEDICAL CLINIC
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668
MRS. ANITA ELVIRA SMITH APRN
Nurse Practitioner (Family)
615 WASHINGTON ST
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668
DR. CAROL SMITH APRN
Nurse Practitioner (Family)
615 WASHINGTON ST
SHELBYVILLE, KY 40065
Shelby County (502) 647-4668

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 Peterson's NPI number?

The NPI number for Michelle Peterson is 1871257741. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Michelle Peterson located?

Michelle Peterson practices at 615 Washington St, Shelbyville, KY 40065. The listed phone number is (502) 647-4668.

What is Michelle Peterson's specialty?

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

Is Michelle Peterson enrolled in Medicare?

Yes. Michelle 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 Michelle Peterson accept?

Health plans from CareSource list Michelle 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 Michelle Peterson was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.