Katie Marie Peterson, AGNP in Saint Louis Park, MN

Katie Marie Peterson, AGNP is a medicare enrolled "Nurse Practitioner" in Saint Louis Park, Minnesota. She went to Yale University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Park Nicollet Clinic and her current practice location is 3931 Louisiana Ave S, Suite E202, Saint Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-9184.

Katie Marie Peterson is licensed to practice in Minnesota (license number 3298) 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 1508265331.

Contact Information

	Katie Marie Peterson, AGNP
	3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426-5000
	(952) 993-9184
	Not Available

Map and Direction

Provider's Profile

Full Name	Katie Marie Peterson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3931 Louisiana Ave S, Saint Louis Park, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katie Marie Peterson attended and graduated from Yale University School Of Medicine in 2014

NPI Data:

NPI Number: 1508265331
Provider Enumeration Date: 08/18/2014
Last Update Date: 03/10/2021

Medicare PECOS Information:

PECOS PAC ID: 5799007720
Enrollment ID: I20141203000104

Medical Identifiers

Medical identifiers for Katie Marie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508265331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AG0614152 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	3298 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Katie Marie Peterson allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Katie Marie 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 Address	Practice Location Address
Katie Marie Peterson, AGNP 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Katie Marie Peterson, AGNP 3931 Louisiana Ave S, Suite E202, Saint Louis Park, MN 55426-5000 Ph: (952) 993-9184

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis Park, MN

Mrs. Julie Ann Such, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3931 Louisiana Ave S, Ste E400, Saint Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748
Casey Louise White, NP-AGPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S Ste E400, Saint Louis Park, MN 55426 Phone: 952-831-8742
Mrs. Janet Louise Ungs, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Saint Louis Park, MN 55416 Phone: 952-993-1000
Dr. Adina L Peck, DNP, RN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3931 Louisiana Ave S, Saint Louis Park, MN 55426 Phone: 952-993-3248
Erin Elizabeth Peterson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Suite 4-820, Saint Louis Park, MN 55426 Phone: 952-993-3240 Fax: 952-993-2640
Mrs. Angela Vanderheyden, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3850 Park Nicollet Blvd, Senior Services, Saint Louis Park, MN 55416 Phone: 952-993-5041 Fax: 952-993-6406

Katie Marie Peterson, AGNP - Medicare Nurse Practitioner in Saint Louis Park, MN