Jerry Petersen, MD

ActiveIndividual ProviderFamily Medicine
NPI issued: July 21, 2005

Quick Facts

NPI Number
1467451344
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(952) 442-7890
StateMN

NPI Validation Status: Verified

Valid 10-digit NPI number (1467451344)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 21, 2005)
Data source: CMS NPPES

Provider Overview

JERRY PETERSEN, MD is a Family Medicine provider based in Spring Park, MN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1467451344
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJuly 21, 2005

Practice Location

CitySpring Park
StateMN
ZIP Code55384-9715
Phone(952) 442-7890

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMN

Mailing Address

CitySpring Park
StateMN
ZIP Code55384-9715
Phone(952) 442-7890
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1467451344 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 1467451344for 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 1467451344 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 Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Jerry Petersen's NPI number?
Jerry Petersen's NPI number is 1467451344, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jerry Petersen's NPI currently active?
Yes, Jerry Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Jerry Petersen specialize in?
Jerry Petersen specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Jerry Petersen practice?
Jerry Petersen practices in Spring Park, MN 55384-9715.
When was Jerry Petersen's NPI issued?
Jerry Petersen's NPI was issued on July 21, 2005.
What is Jerry Petersen's provider type?
Jerry Petersen is registered as an Individual Provider under CMS NPI Type 1.