MRS. MAELEY ROSE PETERSON NNP-BC
NPI 1972140804
Nurse Practitioner - Neonatal, Critical Care in Sacramento, CA
About Mrs. Maeley Rose Peterson Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MAELEY ROSE PETERSON NNP-BC (NPI 1972140804) is an individual neonatal, critical care provider in Sacramento, California, licensed in California (95012668) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Maeley Rose Peterson Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maeley Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
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 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Maeley Peterson's NPI number?
The NPI number for Maeley Peterson is 1972140804. It was assigned to this individual provider in the NPPES registry on December 10, 2019. The provider is also known as Ms. Maeley Rose Roberts Rn, Bsn.
Where is Maeley Peterson located?
Maeley Peterson practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 703-3050.
What is Maeley Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.
Is Maeley Peterson enrolled in Medicare?
Yes. Maeley Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Maeley Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maeley Peterson reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, CA). 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 Maeley Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maeley Peterson was last updated on December 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Maeley Rose Peterson, NNP-BC · NPI 1972140804
Neonatal, Critical Care physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since December 10, 2019.
## Identity
- **NPI:** 1972140804 (Entity type: Individual)
- **Enumerated:** December 10, 2019
- **Primary specialty:** Nurse Practitioner - Neonatal, Critical Care · taxonomy 363LN0005X
- **State license:** 95012668 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 703-3050 · **Fax:** (916) 703-3055
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 10, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1972140804) · Data from the CMS NPPES public registry.