Judy L Peterson, CNNP CPNP - Nurse Practitioner in St Paul, MN

Judy L Peterson, CNNP CPNP is a Nurse Practitioner - Pediatrics based in St Paul, Minnesota. Judy L Peterson is licensed to practice in Minnesota (license number R1013148) and her current practice location is 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 220-6210.

NPI number for Judy L Peterson is 1033177985 and her current mailing address is 2910 Centre Pointe Dr, 35-121a Childrens Health Care, Roseville, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033177985.

Contact Information

Judy L Peterson, CNNP CPNP
347 North Smith Ave, Childrens Specialty Clinic Nicu,
St Paul, MN 55102
(651) 220-6210
(651) 220-7777

Map and Direction




Provider's Profile

Full NameJudy L Peterson
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location347 North Smith Ave, St Paul, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033177985
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Judy L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033177985NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LN0000XNurse Practitioner - Neonatal R1013148 (Minnesota)Primary
363LN0005XNurse Practitioner - Neonatal, Critical Care R1013148 (Minnesota)Primary
363LP0200XNurse Practitioner - Pediatrics R1013148 (Minnesota)Primary

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. Judy L Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Judy L Peterson, CNNP CPNP
2910 Centre Pointe Dr, 35-121a Childrens Health Care,
Roseville, MN 55113

Ph: (651) 855-2327
Judy L Peterson, CNNP CPNP
347 North Smith Ave, Childrens Specialty Clinic Nicu,
St Paul, MN 55102

Ph: (651) 220-6210

Reviews and Comments


Nurse Practitioner Nurses in St Paul, MN

Nancy Entgelmeier, CPNP
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Rebekah A Forrest, CFNP
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Practice Location: 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102
Phone: 651-220-6750    Fax: 651-220-6770
Karla Lynn Hurtley, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Children's Health Care, 345 North Smith Ave, St Paul, MN 55102
Phone: 651-220-6750    
Monica M Overkamp, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Healthpartners Specialty Center 401, 401 Phalen Blvd-mail Stop 41103b, St Paul, MN 55130
Phone: 651-254-7820    Fax: 651-254-7827
Ms. Kathleen Marie Booth, RNC, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 2115 Summit Ave, Student Health Services # 5056, St Paul, MN 55105
Phone: 651-962-6750    Fax: 651-962-6751

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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).

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