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MADELINE RENEE PETERS MD
NPI 1912580622
Pediatrics in Shakopee, MN

Active since April 30, 2021PECOS Enrolled
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379(952) 993-7750 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Apr 30, 2021 (2 updates tracked since 2021).

About Madeline Renee Peters Md NPPES

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

MADELINE RENEE PETERS MD (NPI 1912580622) is an individual pediatrics provider in Shakopee, Minnesota, licensed in Minnesota (76919) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1912580622
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMADELINE RENEE PETERSCredential: MD
Location Address1415 SAINT FRANCIS AVEShakopee, MN 55379-3374
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-7750
Sole ProprietorYes
Enumeration DateApril 30, 2021
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1912580622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 76919
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1415 SAINT FRANCIS AVE, Shakopee, MN 55379
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Secondary Practice Location 1

Location 12450 Riverside Ave Fl M1361Minneapolis, MN 55454-1450 · Phone (612) 624-4477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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)

Madeline Renee Peters 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 55379 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

KRISTIN A WITTE D.O.
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
ANN M. O'DONNELL M.D.
Obstetrics & Gynecology
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
MARK WESTHOLDER
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7800
DR. TREVOR L BUSCH MD
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
CRYSTAL J KNUTSON M.D.
Pediatrics
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750
LISA KROHN PHARMD
Pharmacist
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-4342
SUSAN TORKELSON
Obstetrics & Gynecology
1415 SAINT FRANCIS AVE, SUITE 200
SHAKOPEE, MN 55379
Scott County (952) 993-7750
JENNIFER E GRUNDHOFER PA-C
Physician Assistant
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Scott County (952) 993-7750

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 Madeline Peters's NPI number?

The NPI number for Madeline Peters is 1912580622. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Madeline Peters located?

Madeline Peters practices at 1415 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 993-7750.

What is Madeline Peters's specialty?

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

Is Madeline Peters enrolled in Medicare?

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

What insurance does Madeline Peters accept?

Health plans from HealthPartners and Medica list Madeline Peters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeline Peters was last updated on July 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.