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EMILY JOAN PETERSON
NPI 1912858127
Counselor - Professional in Grand Rapids, MN

Active since February 04, 2026PECOS Enrolled
217 NW 1ST AVE, GRAND RAPIDS, MN 55744(218) 360-1800 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2026, Feb 4, 2026 (2 updates tracked since 2026).

About Emily Joan Peterson NPPES

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

EMILY JOAN PETERSON (NPI 1912858127) is an individual professional provider in Grand Rapids, Minnesota, licensed in Minnesota (5437) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912858127
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEMILY JOAN PETERSON
Location Address217 NW 1ST AVEGrand Rapids, MN 55744-2702
Mailing Address25184 North RdBovey, MN 55709-8347 · (218) 360-1800
Phone(218) 360-1800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 4, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1912858127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5437
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5437 (MN)
217 NW 1ST AVE, Grand Rapids, MN 55744
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Joan Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496226672
PECOS Enrollment IDI20260609000856
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.

Medicare Billing Reassignment

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

Nystrom & Associates, Ltd
150 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

NICHOLAS THOMPSON MS
Counselor (Mental Health)
217 NW 1ST AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 301-7581
PENNY JACOBSEN MS
Counselor (Mental Health)
217 NW 1ST AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 245-9802
MRS. ANDREA HOFSTAD
Social Worker (Clinical)
217 NW 1ST AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 244-1735
JESSICA JOYCE COLTER MSW, LICSW
Social Worker (Clinical)
217 NW 1ST AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 750-0922
DANIELLE CHRISTOPHERSON LICSW
Social Worker (Clinical)
217 NW 1ST AVE
GRAND RAPIDS, MN 55744
Itasca County (651) 313-8080

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 Emily Peterson's NPI number?

The NPI number for Emily Peterson is 1912858127. It was assigned to this individual provider in the NPPES registry on February 4, 2026.

Where is Emily Peterson located?

Emily Peterson practices at 217 NW 1st Ave, Grand Rapids, MN 55744. The listed phone number is (218) 360-1800.

What is Emily Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Emily Peterson enrolled in Medicare?

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

Which organization bills Medicare for Emily Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Peterson reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). 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 Emily Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Peterson accept?

Health plans from HealthPartners list Emily Peterson 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 Emily Peterson was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.