JODI M PETERSON PNP
NPI 1942440763
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Jodi Peterson's NPI number?

The NPI number for Jodi Peterson is 1942440763. It was assigned to this individual provider in the NPPES registry on March 6, 2009. The provider is also known as Jodi L Meadows.

Q: What is Jodi Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jodi Peterson was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 06, 2009PECOS Enrolled

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0970(602) 933-0068 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jodi M Peterson Pnp NPPES

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

JODI M PETERSON PNP (NPI 1942440763) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP3321) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1942440763

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJODI M PETERSONCredential: PNP

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1814

Phone(602) 933-0970

Fax(602) 933-0068

Sole ProprietorNo

Enumeration DateMarch 6, 2009

Last NPPES UpdateMarch 26, 2018

✔ NPI 1942440763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · AP3321

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP3321 (AZ)

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Names 1

Former Name (1)Jodi L Meadows

Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-0970 · Fax (602) 933-0068

Other Identifiers 1

Medicaid423317AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

Jodi M Peterson Pnp 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 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. TIMUR RAGHIB M.D.

Hospitalist