MS. ALICE PETERSEN MSN, FNP-C, CCRA
NPI 1902405665
Nurse Practitioner - Family in Faison, NC

Q: What is Alice Petersen's NPI number?

The NPI number for Alice Petersen is 1902405665. It was assigned to this individual provider in the NPPES registry on October 22, 2020.

Q: What is Alice Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alice Petersen was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 22, 2020PECOS Enrolled

444 SW CENTER ST, FAISON, NC 28341(910) 267-0421(910) 267-8989 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Alice Petersen Msn, Fnp-c, Ccra NPPES

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

MS. ALICE PETERSEN MSN, FNP-C, CCRA (NPI 1902405665) is an individual family provider in Faison, North Carolina, licensed in North Carolina (5018386) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902405665

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. ALICE PETERSENCredential: MSN, FNP-C, CCRA

Location Address444 SW CENTER STFaison, NC 28341-8820

Mailing AddressPo Box 187Faison, NC 28341-0187 · (910) 267-0421 · Fax (855) 996-9090

Phone(910) 267-0421

Fax(910) 267-8989

Sole ProprietorNo

Enumeration DateOctober 22, 2020

Last NPPES UpdateAugust 3, 2023

NPPES CertifiedAugust 3, 2023

✔ NPI 1902405665 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 NC · 5018386

444 SW CENTER ST, Faison, NC 28341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Alice Petersen Msn, Fnp-c, Ccra 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 28341 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTER R SCHMITS JR. M.D.

Family Medicine