Amy Suzette Petersen, APRN - Medicare Nurse Practitioner in Atlantic, IA

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Amy Suzette Petersen, APRN is a medicare enrolled "Nurse Practitioner - Family" in Atlantic, Iowa. Her current practice location is 1501 E 10th St, Atlantic, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 243-2850.

Amy Suzette Petersen is licensed to practice in Iowa (license number A161458) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396350906.

Contact Information

Amy Suzette Petersen, APRN
1501 E 10th St,
Atlantic, IA 50022-1936
(712) 243-2850
Not Available

Map and Direction




Provider's Profile

Full NameAmy Suzette Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location1501 E 10th St, Atlantic, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396350906
  • Provider Enumeration Date: 09/10/2020
  • Last Update Date: 11/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305258823
  • Enrollment ID: I20201207002118

Medical Identifiers

Medical identifiers for Amy Suzette Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396350906NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A161458 (Iowa)Primary
163W00000XRegistered Nurse 094183 (Iowa)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Suzette Petersen allows following entities to bill medicare on her behalf.
Entity NameJennie Edmundson Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942251269
PECOS PAC ID: 9537064837
Enrollment ID: O20031201000247
Entity NameMontgomery County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265405310
PECOS PAC ID: 9032015805
Enrollment ID: O20031211000423
Entity NameCass County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861597122
PECOS PAC ID: 5294634994
Enrollment ID: O20031231000681
Entity NameDallas County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861416307
PECOS PAC ID: 9931094257
Enrollment ID: O20040217000157
Entity NameMontgomery County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376539338
PECOS PAC ID: 9032015805
Enrollment ID: O20061104000347

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Suzette Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Suzette Petersen, APRN
1501 E 10th St,
Atlantic, IA 50022-1936

Ph: () -		Amy Suzette Petersen, APRN
1501 E 10th St,
Atlantic, IA 50022-1936

Ph: (712) 243-2850

Reviews and Comments


Nurse Practitioner Nurses in Atlantic, IA

Mrs. Haley Dawn Kickland, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1101 E 7th St, Atlantic, IA 50022
Phone: 712-243-5790    Fax: 712-243-3975
Tarrah L Holliday, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2307 Olive St, Atlantic, IA 50022
Phone: 712-243-2606    Fax: 712-243-2688
Suzanne M Beitzel, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1501 E 10th St, Atlantic, IA 50022
Phone: 712-243-2850    Fax: 712-243-7423
Mrs. Dianna Marie Prokupek, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1408 East 10th St, Atlantic, IA 50022
Phone: 712-243-2606    Fax: 712-243-2688
Shannon Peterson, DNP, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1501 E 10th St, Atlantic, IA 50022
Phone: 712-243-2850    Fax: 712-243-7423
Mrs. Shelli Dee Brown, ARNP, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2307 Olive St, Atlantic, IA 50022
Phone: 712-243-2606    Fax: 712-243-2688
Mrs. Cynthia Y Wu, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1501 E 10th St, Atlantic, IA 50022
Phone: 712-243-7510    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.