MISTY PETERSEN FNP-C
NPI 1891656328
Nurse Practitioner - Family in Kingman, AZ
About Misty Petersen Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY PETERSEN FNP-C (NPI 1891656328) is an individual family provider in Kingman, Arizona, licensed in Arizona (332191) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Havasu City, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Misty Petersen Fnp-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86409 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 13
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 Misty Petersen's NPI number?
The NPI number for Misty Petersen is 1891656328. It was assigned to this individual provider in the NPPES registry on November 24, 2025.
Where is Misty Petersen located?
Misty Petersen practices at 3555 Western Ave, Kingman, AZ 86409. The listed phone number is (928) 757-8440.
What is Misty Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Misty Petersen enrolled in Medicare?
Yes. Misty Petersen 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.
When was this NPI record last updated?
The NPPES record for Misty Petersen was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
