Ron Peterson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

55424 Issued in CO

Practice address

1100 Carson Ave
Suite 201
La Junta, CO 81050-2751

Phone

(719) 383-5900

Fax

(719) 383-6533

NPI assigned

Oct 24, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Valley-Wide Health Systems, Inc.

  dba Rock Creek Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245220086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "address_2": "SUITE 201",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-5900",
            "fax_number": "719-383-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CARSON AVE",
            "address_2": "SUITE 201",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810502751",
            "telephone_number": "719-383-5900",
            "fax_number": "719-383-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "55424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HEALTH PLA",
            "identifier": "840706945002",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partnership for Progress LLC
• Pawel R Bielecki, DDS, PC (Young at Heart Dentistry La Junta)
• Janine Libby Pearce-Vasquez, M.A.
• Rochelle Peil
• Meghan Brianna Penwitt, M.S.
• Caitlin Philpy, NP
• Poudre Valley Medical Group, LLC (UCHealth Medical Group)
• Amy Proctor
• Pueblo Community Health Center Inc
• Qualicenters Pueblo, LLC (Fresenius Medical Care la Junta Dialysis)

• Family Nurse Practitioner in La Junta, CO
• Providers in La Junta, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.