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KRYSTAL PETERSON
NPI 1902662174
Nurse Practitioner - Family in Effingham, SC

Active since February 26, 2024PECOS Enrolled
1217 TURTLE DOVE DR, EFFINGHAM, SC 29541(843) 472-8322 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krystal Peterson NPPES

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

KRYSTAL PETERSON (NPI 1902662174) is an individual family provider in Effingham, South Carolina, licensed in South Carolina (28462) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902662174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL PETERSON
Location Address1217 TURTLE DOVE DREffingham, SC 29541-4721
Mailing Address1217 Turtle Dove DrEffingham, SC 29541-4721 · (843) 472-8322
Phone(843) 472-8322
Sole ProprietorNo
Enumeration DateFebruary 26, 2024
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1902662174 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 SC · 28462
1217 TURTLE DOVE DR, Effingham, SC 29541
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal Peterson 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 29541 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Krystal Peterson's NPI number?

The NPI number for Krystal Peterson is 1902662174. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Krystal Peterson located?

Krystal Peterson practices at 1217 Turtle Dove Dr, Effingham, SC 29541. The listed phone number is (843) 472-8322.

What is Krystal Peterson's specialty?

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

Is Krystal Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Krystal Peterson was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.