Stephanie M Peterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23461 Issued in NE

Practice address

1919 S 40TH St Ste 330
Lincoln, NE 68506-5257

Phone

(402) 261-3443

Fax

(888) 324-5311

NPI assigned

Jul 31, 2006

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rheumatology & Osteoporosis Services, P.C.

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1174737597
  NPD
• Downtown Physicians Group

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1942270350
  NPD (past)
• Urgent Care Clinic of Lincoln, P.C.

  • Urgent Care Clinic/Center
  • Lincoln, NE
  • NPI 1962408732
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1043226046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065257",
            "telephone_number": "402-261-3443",
            "fax_number": "888-324-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST STE 330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065257",
            "telephone_number": "402-261-3443",
            "fax_number": "888-324-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "23461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Peterson
• Nancy Ann Peterson, CNM
• Nicole Peterson
• Nolan R Peterson, CRNA
• Sandra Sue Peterson
• Sydney Gail Peterson, OTD, OTR/L
• Tiana Brooke Peterson, DO
• Wallace Cary Peterson Jr., MD
• Taylor A Petitt, OT
• Breanna Petracek

• Family Medicine Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.