Individual provider Active NPI

Erin Alene Peterson, ARNP

  • Family Nurse Practitioner
  • Manson, IA
National Provider Identifier
1376959502
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A087597 Issued in IA
Practice address
1303 11TH Ave
Manson, IA 50563-5065
Phone
(712) 469-3307
NPI assigned
Jul 9, 2014
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A087597 IA Primary

Addresses

Primary practice location

1303 11TH Ave
Manson, IA 50563-5065

Mailing address

1303 11TH Ave
Manson, IA 50563-5065
Phone (712) 469-3307

Other practice location 1

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-7500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address epeterson88692@directmcfarlandclinic.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815000126 IA Practitioner - Nurse Practitioner 2567689557 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocahontas Community HospitalGroup PAC ID 7012820012, 8 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-4200

1000 15TH St N B
HCMH Walk in Clinic
Humboldt, IA 50548-1008
Phone (515) 332-7555

606 NW 7TH St
Pocahontas, IA 50574-1028
Phone (712) 335-3501

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A087597IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Pocahontas Community Hospital CurrentSince Aug 16, 2014 Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

Interoperability endpoints

  • Direct secure messaging: epeterson127947@direct.unitypoint.org
  • Direct secure messaging: epeterson88692@directmcfarlandclinic.com

Organizations & group practices 6

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 5

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": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1376959502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 11TH AVE",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635065",
            "telephone_number": "712-469-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 11TH AVE",
            "city": "MANSON",
            "state": "IA",
            "postal_code": "505635065",
            "telephone_number": "712-469-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 S Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Carroll",
            "state": "IA",
            "postal_code": "514013102",
            "country_code": "US",
            "telephone_number": "712-792-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ERIN",
        "middle_name": "ALENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A087597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epeterson88692@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1214 S Grant Rd",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514013102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manson, IA

Sources for this page

Verify at the official NPI Registry.