Mrs Michelle Annmarie Jackson Petersen, NP - Nurse Practitioner in Astoria, NY

Mrs Michelle Annmarie Jackson Petersen, NP is a Nurse Practitioner - Family based in Astoria, New York. Mrs Michelle Annmarie Jackson Petersen is licensed to practice in New York (license number F348339-01) and her current practice location is 2322 30th Rd Ste 1a, Astoria, New York. She can be reached at her office (for appointments etc.) via phone at (667) 326-9198.

NPI number for Mrs Michelle Annmarie Jackson Petersen is 1205548443 and her current mailing address is 21917 130th Dr, Springfield Gardens, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205548443.

Contact Information

Mrs Michelle Annmarie Jackson Petersen, NP
2322 30th Rd Ste 1a,
Astoria, NY 11102-3238
(667) 326-9198
Not Available

Map and Direction




Provider's Profile

Full NameMrs Michelle Annmarie Jackson Petersen
GenderFemale
SpecialityNurse Practitioner - Family
Location2322 30th Rd Ste 1a, Astoria, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205548443
  • Provider Enumeration Date: 12/20/2022
  • Last Update Date: 10/30/2024

Medical Identifiers

Medical identifiers for Mrs Michelle Annmarie Jackson Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205548443NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F348339-01 (New York)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. Mrs Michelle Annmarie Jackson Petersen 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
Mrs Michelle Annmarie Jackson Petersen, NP
21917 130th Dr,
Springfield Gardens, NY 11413-1220

Ph: (718) 276-2651
Mrs Michelle Annmarie Jackson Petersen, NP
2322 30th Rd Ste 1a,
Astoria, NY 11102-3238

Ph: (667) 326-9198

Reviews and Comments


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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.

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