Dr Randy Wayne Peterson, APRN, CNP in Minneapolis, MN

Dr Randy Wayne Peterson, APRN, CNP is a medicare enrolled "Nurse Practitioner" in Minneapolis, Minnesota. He went to University Of Minnesota Medical School and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Express Care, Allina Health System, Hennepin Healthcare System Inc and his current practice location is 800 E 28th St # W4300, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 863-3110.

Dr Randy Wayne Peterson is licensed to practice in Minnesota (license number 7781) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730747221.

Contact Information

	Dr Randy Wayne Peterson, APRN, CNP
	800 E 28th St # W4300, Minneapolis, MN 55407-3723
	(612) 863-3110
	(612) 863-8927

Map and Direction

Provider's Profile

Full Name	Dr Randy Wayne Peterson
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	800 E 28th St # W4300, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Randy Wayne Peterson attended and graduated from University Of Minnesota Medical School in 2020

NPI Data:

NPI Number: 1730747221
Provider Enumeration Date: 05/30/2019
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9830500701
Enrollment ID: I20201125000062

Medical Identifiers

Medical identifiers for Dr Randy Wayne Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730747221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R214182-8 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	7781 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Abbott Northwestern Hospital	Minneapolis, MN	Hospital
Hennepin County Medical Center 1	Minneapolis, MN	Hospital
Fairview Southdale Hospital	Edina, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Express Care	3375645179	1537
Allina Health System	4587573613	3101
Hennepin Healthcare System Inc	4789684861	804

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. Dr Randy Wayne Peterson allows following entities to bill medicare on his behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Hennepin Healthcare System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Dr Randy Wayne 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
Dr Randy Wayne Peterson, APRN, CNP Po Box 43, Minneapolis, MN 55440-0043 Ph: (612) 262-1166	Dr Randy Wayne Peterson, APRN, CNP 800 E 28th St # W4300, Minneapolis, MN 55407-3723 Ph: (612) 863-3110

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101
Deborah Elkins, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-225-1534
Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Dr Randy Wayne Peterson, APRN, CNP - Medicare Nurse Practitioner in Minneapolis, MN