DR. PAMELA MARJORIE PETERSON PHD, LP
NPI 1972674091
Psychologist - Clinical in Plainview, MN

Q: What is Pamela Peterson's NPI number?

The NPI number for Pamela Peterson is 1972674091. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Q: What is Pamela Peterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Pamela Peterson was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 11, 2006PECOS EnrolledAccepts Medicare Assignment

300 W BROADWAY, STE 1, PLAINVIEW, MN 55964(507) 421-1064(507) 932-8556 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Pamela Marjorie Peterson Phd, Lp NPPES

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

DR. PAMELA MARJORIE PETERSON PHD, LP (NPI 1972674091) is an individual clinical provider in Plainview, Minnesota, licensed in Minnesota (LP3975) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1972674091

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PAMELA MARJORIE PETERSONCredential: PHD, LP

Location Address300 W BROADWAY, STE 1Plainview, MN 55964-1256

Mailing Address314 Devin DrSaint Charles, MN 55972-1701 · (507) 421-1064 · Fax (507) 523-3661

Phone(507) 421-1064

Fax(507) 932-8556

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateNovember 11, 2006

Last NPPES UpdateApril 11, 2019

✔ NPI 1972674091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP3975

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

300 W BROADWAY, Plainview, MN 55964

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Other Identifiers 1

Medicaid607316600MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pamela Marjorie Peterson Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951349562

PECOS Enrollment IDI20050422000618

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 55964 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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.

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 Pamela Peterson's NPI number?

The NPI number for Pamela Peterson is 1972674091. It was assigned to this individual provider in the NPPES registry on November 11, 2006.

Where is Pamela Peterson located?

Pamela Peterson practices at 300 W Broadway Ste 1, Plainview, MN 55964. The listed phone number is (507) 421-1064.

What is Pamela Peterson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Pamela Peterson enrolled in Medicare?

Yes. Pamela Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Pamela Peterson accept?

Health plans from HealthPartners and Quartz list Pamela 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 Pamela Peterson was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.