Jon Petersen, M.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: October 3, 2005

Quick Facts

NPI Number
1285621516
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2083X0100X — Specialty not listed
Phone
(217) 464-1440
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1285621516)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 3, 2005)
Data source: CMS NPPES

Provider Overview

JON PETERSEN, M.D is a Healthcare provider based in Decatur, IL who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1285621516
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateOctober 3, 2005

Practice Location

CityDecatur
StateIL
ZIP Code62521-3803
Phone(217) 464-1440

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2083X0100X
License StateIL

Mailing Address

CityDecatur
StateIL
ZIP Code62521-3803
Phone(217) 464-1440
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1285621516 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1285621516for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1285621516 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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3,028
Specialty not listed Providers in the US

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People Also Ask

What is Jon Petersen's NPI number?
Jon Petersen's NPI number is 1285621516, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jon Petersen's NPI currently active?
Yes, Jon Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Jon Petersen specialize in?
Jon Petersen specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2083X0100X.
Where does Jon Petersen practice?
Jon Petersen practices in Decatur, IL 62521-3803.
When was Jon Petersen's NPI issued?
Jon Petersen's NPI was issued on October 3, 2005.
What is Jon Petersen's provider type?
Jon Petersen is registered as an Individual Provider under CMS NPI Type 1.