Active NPI
Jodi Peterson, CNP
- Family Nurse Practitioner
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CP001854
- Practice address
- 7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988 - Phone
- (605) 271-5441
- Fax
- (605) 271-5277
- NPI assigned
- Nov 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CP001854 | SD | Primary |
Addresses
Primary practice location
7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988
Mailing address
7600 S Minnesota Ave Ste 201
Sioux Falls, SD 57108-2988
Phone (605) 271-5441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201229001286 | SD | Practitioner - Nurse Practitioner | 9436562097 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennanCity of BrookingsSanford Health NetworkWagner Community Memorial Hospital
Practice addresses (Care Compare)
203 N Elk St
Elkton, SD 57026-2103
Phone (605) 542-7701
212 N Prairie St
Flandreau, SD 57028-1243
214 N Prairie St
Flandreau, SD 57028-1243
Phone (605) 997-2433
300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351
400 N Hiawatha Dr
Canton, SD 57013-5800
Phone (605) 987-4378
440 N Hiawatha Dr
Canton, SD 57013-5800
Phone (605) 987-2621
513 3Rd St SW
Wagner, SD 57380-9675
Phone (605) 384-3418
701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-2141
Hospital & facility affiliations
- Wagner Community Memorial Hospital - Cah
- Sanford Canton-Inwood Medical Center - Cah
- Avera Sacred Heart Hospital
- Avera Flandreau Hospital - Cah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Family | Current | Accepting new patients |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Wagner Community Memorial Hospital | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611
501 Summit St
Yankton, SD 57078
Phone (605) 655-1201
Organizations & group practices 28
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
SD
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
-
- Medicare Defined Swing Bed Hospital Unit
- Wagner, SD
- NPI 1629135645
-
- General Acute Care Hospital
- Brookings, SD
- NPI 1275515579
-
- Community Based Hospice Care Agency
- Brookings, SD
- NPI 1306928494
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Yankton, SD
- NPI 1740783463
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604793600000",
"number": "1033710736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 S MINNESOTA AVE STE 201",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082988",
"telephone_number": "605-271-5441",
"fax_number": "605-271-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 S MINNESOTA AVE STE 201",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082988",
"telephone_number": "605-271-5441",
"fax_number": "605-271-5277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JODI",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-08",
"last_updated": "2020-11-08",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP001854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; 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.