Active NPI
Rand A Petersen, D.C.
- Chiropractor
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 897
- Practice address
- 3812 4TH Ave
Kearney, NE 68845-2832 - Phone
- (308) 237-7700
- Fax
- (308) 236-7605
- NPI assigned
- Jun 13, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 897 | NE | Primary |
Addresses
Primary practice location
3812 4TH Ave
Kearney, NE 68845-2832
Mailing address
3812 4TH Ave
Kearney, NE 68845-2832
Phone (308) 237-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09504 | Other | NE | BCBS OF NE |
| 22396 | Other | NE | MIDLAND'S CHOICE NETWORK |
| 47070724500 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3812 4TH Ave
Kearney, NE 68845-2832
Phone (308) 237-7700
4715 2ND Ave
Kearney, NE 68847-2417
Phone (308) 455-1500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 897 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petersen Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
| Elite Chiropractic & Tissue Rehabilitation, LLC | Current | Accepting new patients |
Locations
3812 4th Ave
Kearney, NE 68845
Phone (308) 237-7700
4715 2nd Ave
Kearney, NE 68847
Phone (308) 455-1500
Organizations & group practices 2
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.
-
- Clinic/Center
- Kearney, NE
- NPI 1295036630
-
- Chiropractor
- Kearney, NE
- NPI 1194076943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265475073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 4TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452832",
"telephone_number": "308-237-7700",
"fax_number": "308-236-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 4TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452832",
"telephone_number": "308-237-7700",
"fax_number": "308-236-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "RAND",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "09504",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE NETWORK",
"identifier": "22396",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47070724500",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.