Krystal Peters, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN002118 Issued in NV

Practice address

6280 Elk Ivory Dr
Reno, NV 89511-4393

Phone

(775) 376-1497

NPI assigned

Sep 16, 2016

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: krystal.peters.p1@direct.smmg.nextgenshare.com

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.

• Holistic Family Practice

  • Health Service Clinic/Center
  • Reno, NV
  • NPI 1053910620
  NPD Authorized official
• Saint Mary's Medical Group Inc

  dba Saint Mary's Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Reno, NV
  • NPI 1447635578
  NPD
• Saint Marys Medical Group Inc.

  dba Saint Mary's Medical Group

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239
  NPD

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1427506500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 ELK IVORY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114393",
            "telephone_number": "775-376-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 ELK IVORY DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114393",
            "telephone_number": "775-376-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KRYSTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter C Lim MD LTD (Center of Hope)
• Peter R Fenwick, MD
• Cadence Peters
• December Peters
• Jennifer L Peters, PA-C
• Robert Reynold Peters, DO
• Cathy Petersen
• Courtenay Barlow Petersen, MD
• Elizabeth Noreen Petersen
• Jeffrey Daniel Petersen

• Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.