Carrie Jean Peterson, DNP - Medicare Nurse Practitioner in Phoenix, AZ

Carrie Jean Peterson, DNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Phoenix, Arizona. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sjhmc Physician Services and her current practice location is 625 N 6th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-8222.

Carrie Jean Peterson is licensed to practice in Arizona (license number AP8720) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881055291.

Contact Information

Carrie Jean Peterson, DNP
625 N 6th St,
Phoenix, AZ 85004
(602) 406-8222
(602) 406-7811

Map and Direction




Provider's Profile

Full NameCarrie Jean Peterson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location625 N 6th St, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carrie Jean Peterson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1881055291
  • Provider Enumeration Date: 03/11/2016
  • Last Update Date: 05/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234418567
  • Enrollment ID: I20161109001726

Medical Identifiers

Medical identifiers for Carrie Jean Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881055291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN165205 (Arizona)Secondary
363LG0600XNurse Practitioner - Gerontology AP8720 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St. Joseph's Hospital And Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sjhmc Physician Services4486646197547

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. Carrie Jean Peterson allows following entities to bill medicare on her behalf.
Entity NameSjhmc Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326098005
PECOS PAC ID: 4486646197
Enrollment ID: O20040401001189
Entity NameSouthwest Kidney Institute Scottsdale Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902231012
PECOS PAC ID: 3577798313
Enrollment ID: O20131101000457

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. Carrie Jean Peterson 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
Carrie Jean Peterson, DNP
Po Box 33269,
Phoenix, AZ 85067-3269

Ph: (602) 406-4786
Carrie Jean Peterson, DNP
625 N 6th St,
Phoenix, AZ 85004

Ph: (602) 406-8222

Reviews and Comments


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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.