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EMILY SEGAR PETERSON MD
NPI 1992144604
Pediatrics in St Louis Park, MN

Active since June 17, 2013PECOS Enrolled
3931 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 993-3123 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2021, Mar 17, 2018, Jun 30, 2017 (3 updates tracked since 2017).

About Emily Segar Peterson Md NPPES

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

EMILY SEGAR PETERSON MD (NPI 1992144604) is an individual pediatrics provider in St Louis Park, Minnesota, licensed in Minnesota (62062) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1992144604
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEMILY SEGAR PETERSONCredential: MD
Location Address3931 LOUISIANA AVE SSt Louis Park, MN 55426-5000
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-3123
Sole ProprietorNo
Enumeration DateJune 17, 2013
Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1992144604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MN · 62062✔ Licensed in IA · R9828✔ Licensed in IA · MD-43225
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3931 LOUISIANA AVE S, St Louis Park, MN 55426
Open in Google Maps ↗

Other Names 1

Former Name (1)Emily Margaret Segar

Secondary Practice Location 1

Location 1200 Hawkins Dr, UIHC PediatricsIowa City, IA 52242-1009 · Phone (319) 356-3462 · Fax (319) 384-7899

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 Segar Peterson Md 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.

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.

Park Nicollet Methodist Hospital
0.8 mi
General Acute Care Hospital
3900 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Park Nicollet Clinic
  • 2,527 clinicians in this Medicare group
NPI 1194113217 (952) 993-1953

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 55426 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.

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.

CAMILLE ASHLEY SCHWARZROCK NP-C
Nurse Practitioner
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
WILL C JENSEN MD
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
LESLIE PRATT
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S, STE E111
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5900
AMANDA J CALVIN MD
Internal Medicine (Pulmonary Disease)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
MARI M UUTALA LPC
Counselor (Professional)
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3248
BROOKE RAEANNE VOGT PHYSICIAN ASSISTANT
Physician Assistant
3931 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426
Hennepin County (952) 993-3180
DORY L NEUROCK NP
Nurse Practitioner (Family)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
DR. MEILING HUA PARKER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230

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 1992144604. It was assigned to this individual provider in the NPPES registry on June 17, 2013. The provider is also known as Emily Margaret Segar.

Where is Emily Peterson located?

Emily Peterson practices at 3931 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 993-3123.

What is Emily Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 Park Nicollet Methodist Hospital (St Louis Park, 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 March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.