Kelsey Peterson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

112618 Issued in NE

Practice address

816 22ND Ave Ste 100
Kearney, NE 68845-2226

Phone

(308) 455-8287

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Nebraska College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
• Callaway District Hospital Hospital, Callaway, NE, CCN 281335

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpeterson175114@hisp.bryanhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bryan Hospital Kearney

  • Family Medicine Physician
  • Kearney, NE
  • NPI 1033875380
  Medicare reassignment Care Compare group NPD
• Bryan Hospital Kearney

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  NPD
• Central Nebraska Spinal Surgery Center, P.C.

  • Orthopaedic Surgery of the Spine Physician
  • Kearney, NE
  • NPI 1962560698
  NPD (past)
• Platte Valley Medical Group, P.C.

  • Internal Medicine Physician
  • Kearney, NE
  • NPI 1144203324
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bryan Hospital Kearney

  • General Acute Care Hospital
  • Kearney, NE
  • NPI 1407513484
  Care Compare affiliation
• Callaway Hospital District

  • Critical Access Hospital
  • Callaway, NE
  • NPI 1740397850
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1003393604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-455-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-455-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KELSEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "112618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Perez
• Petersen Chiropractic Center PC
• Rand A Petersen, D.C.
• Peterson Chiropractic LLC
• Danika Marie Peterson, MD
• Lauren Peterson, PHARMD
• Lena Peterson
• Myles Peterson
• Sherrilyn Denise Peterson, LMHP
• Trevor John Peterson, DC

• Family Nurse Practitioner in Kearney, NE
• Providers in Kearney, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.