Mrs Carissa Peterson, ARNP in Edgewater, FL - Medicare Nurse Practitioner

Mrs Carissa Peterson, ARNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Edgewater, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 109 W Knapp Ave, Edgewater, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 957-4100.

Mrs Carissa Peterson is licensed to practice in Florida (license number ARNP9249998) 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 1376097105.

Contact Information

	Mrs Carissa Peterson, ARNP
	109 W Knapp Ave, Edgewater, FL 32132-1555
	(386) 957-4100
	(386) 957-4104

Map and Direction

Provider's Profile

Full Name	Mrs Carissa Peterson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	109 W Knapp Ave, Edgewater, Florida
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:

Mrs Carissa Peterson graduated from nursing school in 2016

NPI Data:

NPI Number: 1376097105
Provider Enumeration Date: 08/10/2016
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2466738521
Enrollment ID: I20190819000443

Medical Identifiers

Medical identifiers for Mrs Carissa Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376097105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	ARNP9249998 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	ARNP9249998 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventhealth New Smyrna Beach	New smyrna beach, FL	Hospital

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. Mrs Carissa Peterson allows following entities to bill medicare on her behalf.

Entity Name	Coastal Esthetics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114572245 PECOS PAC ID: 8123356946 Enrollment ID: O20190819000269

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. Mrs Carissa 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
Mrs Carissa Peterson, ARNP 472 Old Mission Rd, New Smyrna Beach, FL 32168-8552 Ph: (386) 314-7483	Mrs Carissa Peterson, ARNP 109 W Knapp Ave, Edgewater, FL 32132-1555 Ph: (386) 957-4100

Reviews and Comments

Nurse Practitioner Nurses in Edgewater, FL

Ms. Margaret Sue Mehring, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 N Ridgewood Ave, Edgewater, FL 32132 Phone: 386-427-4868
Sheila Dolores Waicus, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 San Remo Cir, Edgewater, FL 32141 Phone: 386-690-6943
Gabrielle Envent, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 233 W Ariel Rd, Edgewater, FL 32141 Phone: 408-612-2356
Tori Hartmann, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2827 Unity Tree Dr, Edgewater, FL 32141 Phone: 386-315-5387
Kami Teresa Seifert, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1516 Monroe Dr, Edgewater, FL 32132 Phone: 386-341-9070
Victoria Susan Waicus, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Silver Cir, Edgewater, FL 32141 Phone: 386-690-6923

Mrs Carissa Peterson, ARNP - Medicare Nurse Practitioner in Edgewater, FL