KATHERINE ROSE PETERSON MD
NPI 1871288217
Pediatrics in Grand Rapids, MI

Q: What is Katherine Peterson's NPI number?

The NPI number for Katherine Peterson is 1871288217. It was assigned to this individual provider in the NPPES registry on April 11, 2023. The provider is also known as Katie Rose Peterson MD.

Q: What is Katherine Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 11, 2023PECOS Enrolled

100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-0118 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Mar 28, 2025, Feb 5, 2025 and 2 more (5 updates tracked since 2023).

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About Katherine Rose Peterson Md NPPES

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

KATHERINE ROSE PETERSON MD (NPI 1871288217) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301517126) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871288217

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKATHERINE ROSE PETERSONCredential: MD

Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560

Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560 · (616) 267-0118

Phone(616) 267-0118

Sole ProprietorNo

Enumeration DateApril 11, 2023

Last NPPES UpdateMay 19, 20265 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1871288217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301517126

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 4301517126 (MI)

100 MICHIGAN ST NE, Grand Rapids, MI 49503

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Other Names 1

Other Name (5)Katie Rose Peterson Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Rose Peterson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MAUREEN TAN PEDRES M.D.

Internal Medicine

100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

MATTHEW H ARMSTRONG MD

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

ALINE DE QUADROS TEIXEIRA MD

Internal Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-3139

DR. LINDSEY DANIELLE CONRADO PT, DPT

Physical Therapist

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (161) 639-1177

DANIEL H. ROBINSON D.O.

Anesthesiology

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1510

MARK GREENWOOD DO

Emergency Medicine

100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503

Kent County (616) 391-5310

RAYMOND SCUREK MD

Emergency Medicine

100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

Kent County (616) 391-1680

MRS. RACHEL LEIGH VANSTRIEN PA-C

Physician Assistant

100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Kent County (616) 391-0800

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 Katherine Peterson's NPI number?

The NPI number for Katherine Peterson is 1871288217. It was assigned to this individual provider in the NPPES registry on April 11, 2023. The provider is also known as Katie Rose Peterson MD.

Where is Katherine Peterson located?

Katherine Peterson practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-0118.

What is Katherine Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Peterson enrolled in Medicare?

Yes. Katherine Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Peterson was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.