Kathryn Anne Petersen, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-147633 Issued in AL

Practice address

44 Hughes Rd Ste 2500
Madison, AL 35758-3026

Phone

(256) 464-2920

Fax

(256) 542-3200

NPI assigned

Jul 27, 2022

Last updated

Mar 21, 2024By the provider in NPPES

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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vital Sleep Care, PCGroup PAC ID 2860808268, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.66 of 100Reported as group

Quality

90

Promoting interoperability

94

Improvement activities

40

Cost

80.55

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Vital Sleep Care PC

  • Sleep Medicine (Family Medicine) Physician
  • Madison, AL
  • NPI 1104417955
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1356077879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 2500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583026",
            "telephone_number": "256-464-2920",
            "fax_number": "256-542-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD STE 2500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583026",
            "telephone_number": "256-464-2920",
            "fax_number": "256-542-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-147633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Pellant, M.S.,, L.P.C.
• Jessica Penot, MS
• Erin Elizabeth Percy, CRNP
• Nicole Perkins, LMFT
• Cynthia A Perry, COUNSELOR, MS
• David Samuel Peterson, D.P.T
• Debra E Peterson, P.T.
• Jake William Ryan Petraszewsky
• Paige Pettaway, PHARM. D
• Anthony Dwain Pettus Jr.

• Family Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.

Verify at the official NPI Registry.