Individual provider Active NPI

Kristi K Peterson, MD

  • Obstetrics & Gynecology Physician
  • Papillion, NE
National Provider Identifier
1427003136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
17847 Issued in NE
Practice address
10701 S 72ND St
Suite 100
Papillion, NE 68046-3423
Phone
(402) 827-9400
Fax
(402) 827-9405
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 17847 NE Primary

Addresses

Primary practice location

10701 S 72ND St
Suite 100
Papillion, NE 68046-3423

Mailing address

10701 S 72ND St
Suite 100
Papillion, NE 68046-3423
Phone (402) 827-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20040401001017 NE Practitioner - Obstetrics/Gynecology 4385536184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10701 S 72ND St
Suite 100
Papillion, NE 68046-3427
Phone (402) 827-9400

Hospital & facility affiliations

  • Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kristi K Peterson MD PC CurrentSince Jul 1, 1994 Accepting new patients

Locations

10701 S 72nd St
Ste 100
Papillion, NE 68046
Phone (402) 827-9400

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1427003136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 S 72ND ST",
            "address_2": "SUITE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463423",
            "telephone_number": "402-827-9400",
            "fax_number": "402-827-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 S 72ND ST",
            "address_2": "SUITE 100",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680463423",
            "telephone_number": "402-827-9400",
            "fax_number": "402-827-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KRISTI",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "17847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

Verify at the official NPI Registry.