ALICIA PETERSON APRN, CNP, CNM
NPI 1942759576
Nurse Practitioner in Montevideo, MN

Q: What is Alicia Peterson's NPI number?

The NPI number for Alicia Peterson is 1942759576. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Q: What is Alicia Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Peterson was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 23, 2016PECOS Enrolled

824 N 11TH ST, MONTEVIDEO, MN 56265(320) 269-8877(320) 321-8200 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 7, 2022, Aug 28, 2019, Sep 23, 2016 (3 updates tracked since 2016).

On this page

About Alicia Peterson Aprn, Cnp, Cnm NPPES

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

ALICIA PETERSON APRN, CNP, CNM (NPI 1942759576) is an individual nurse practitioner in Montevideo, Minnesota, licensed in Minnesota (CNP 4807) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milan, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942759576

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALICIA PETERSONCredential: APRN, CNP, CNM

Location Address824 N 11TH STMontevideo, MN 56265-1629

Mailing Address1282 Walnut StDawson, MN 56232-2333 · (320) 769-4393

Phone(320) 269-8877

Fax(320) 321-8200

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 23, 2016

Last NPPES UpdateSeptember 7, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2022

✔ NPI 1942759576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · CNP 4807

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedMidwifeTaxonomy 176B00000X · License 514 (MN)

824 N 11TH ST, Montevideo, MN 56265

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Secondary Practice Location 1

Location 1237 2nd AveMilan, MN 56262 · Phone (320) 269-8877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Peterson Aprn, Cnp, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365720687

PECOS Enrollment IDI20221118000849

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 Reassignments

Medicare enrollment records show Alicia Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ccm Health

Same address

Urgent Care

824 N 11TH ST
Montevideo, MN 56265

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1720086028 (Minnesota)
149 clinicians in this Medicare group

NPI 1275057978 (320) 269-8877

Johnson Memorial Health Services

17 mi

Critical Access

1282 WALNUT ST
Dawson, MN 56232

Reassigned Medicare billing, Minnesota enrollment
31 clinicians in this Medicare group

NPI 1093745051 (320) 769-4323

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56265 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers14 claims62 services$24.00 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers12 claims12 services$68.93 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers28 claims104 services$2.72 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LISA MARIE SANDVEN CHW

Community Health Worker