Individual provider Active NPI

Megan Rose Peterson, DO

  • Family Medicine Physician
  • Osage, IA
National Provider Identifier
1346731031
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05415 Issued in IA
Practice address
616 N 8TH St
Osage, IA 50461-1456
Phone
(641) 732-6000
NPI assigned
May 29, 2018
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-05415 IA Primary

Addresses

Primary practice location

616 N 8TH St
Osage, IA 50461-1456

Mailing address

616 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6000

Other practice location 1

140 W 4th St # 1
Saint Ansgar, IA 50472-1352
Phone (641) 736-4401

Other names 1

  • Megan Rose Kittleson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.peterson001@mercyhealth.com Direct MercyOne North Iowa

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928002135 IA Practitioner - Family Practice 3274930664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mitchell County Memorial HospitalGroup PAC ID 5890603070, shared by 6 NPIs, 23 clinicians

Practice addresses (Care Compare)

620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-05415IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Memorial Hospital Current Accepting new patients
Mitchell County Memorial Hospital CurrentSince Sep 27, 2021 Accepting new patients
Mitchell County Memorial Hospital CurrentSince Sep 27, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Mitchell County Memorial Hospital Past Accepting new patients

Locations

616 N 8th St
Osage, IA 50461
Phone (641) 732-6000

620 N 8th St
Osage, IA 50461
Phone (641) 732-6100

140 W 4th St
Saint Ansgar, IA 50472
Phone (641) 713-4381

140 W 4th St
Ste 1
Saint Ansgar, IA 50472
Phone (641) 736-4401

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1346731031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N 8TH ST",
            "city": "OSAGE",
            "state": "IA",
            "postal_code": "504611456",
            "telephone_number": "641-732-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W 4th St # 1",
            "address_purpose": "LOCATION",
            "city": "Saint Ansgar",
            "state": "IA",
            "postal_code": "504721352",
            "country_code": "US",
            "telephone_number": "641-736-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.peterson001@mercyhealth.com",
            "affiliation": "Y",
            "endpointDescription": "MercyOne North Iowa Direct Email Address",
            "affiliationName": "MercyOne North Iowa",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "616 N 8th St",
            "city": "Osage",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504611456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "KITTLESON",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Osage, IA

Sources for this page

Verify at the official NPI Registry.