ANGELA PETERS MS, RDN, CDN
NPI 1871455071
Dietitian, Registered in Holtsville, NY

Active since November 26, 2025
21 GLEN HOLLOW DR APT G18, HOLTSVILLE, NY 11742(631) 456-2276 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Peters Ms, Rdn, Cdn NPPES

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

ANGELA PETERS MS, RDN, CDN (NPI 1871455071) is an individual dietitian, registered in Holtsville, New York, licensed in New York (012909) and active in the NPI registry since November 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1871455071
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANGELA PETERSCredential: MS, RDN, CDN
Location Address21 GLEN HOLLOW DR APT G18Holtsville, NY 11742-2458
Mailing Address21 Glen Hollow Dr Apt G18Holtsville, NY 11742-2458
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1871455071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 012909
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
21 GLEN HOLLOW DR APT G18, Holtsville, NY 11742

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Peters Ms, Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830672492
PECOS Enrollment IDI20260311003277

Medicare Billing Reassignment

Medicare enrollment records show Angela Peters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
358 VETERANS MEMORIAL HWY STE 10
Commack, NY 11725
  • Reassigned Medicare billing, New York enrollment
  • 18 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.

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 Angela Peters's NPI number?

The NPI number for Angela Peters is 1871455071. It was assigned to this individual provider in the NPPES registry on November 26, 2025.

Where is Angela Peters located?

Angela Peters practices at 21 Glen Hollow Dr Apt G18, Holtsville, NY 11742. The listed phone number is (631) 456-2276.

What is Angela Peters's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Angela Peters enrolled in Medicare?

Yes. Angela Peters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Peters reassigns Medicare benefits to New York Dietetics And Nutrition PLLC (Commack, NY). 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 Angela Peters'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 Angela Peters was last updated on November 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.