Individual provider Active NPI

Rachel Peterson, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1447734017
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704316690 Issued in MI
Practice address
926 N Michigan Ave
Saginaw, MI 48602-4323
Phone
(989) 753-8453
Fax
(989) 755-9983
NPI assigned
Sep 19, 2018
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 4704316690 MI Primary

Addresses

Primary practice location

926 N Michigan Ave
Saginaw, MI 48602-4323

Mailing address

926 N Michigan Ave
Saginaw, MI 48602-4323
Phone (989) 753-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190821003121 MI Practitioner - Nurse Practitioner 8224366703 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704316690MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Michigan District Health Department CurrentSince Jul 30, 2019 Accepting new patients
Valley OB GYN Clinic PC CurrentSince Mar 17, 2025 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Msu Health Care Inc Family PastSince Jul 28, 2019 Accepting new patients

Locations

117 S Main St
Ste A
Freeland, MI 48623
Phone (989) 753-8453

103 N Bowery Ave
Gladwin, MI 48624
Phone (989) 430-8249

815 N Clare Ave
Ste B
Harrison, MI 48625
Phone (989) 539-6731

2012 E Preston St
Mt Pleasant, MI 48858
Phone (989) 773-5921

200 Grand Ave
Ste A
Prudenville, MI 48651
Phone (989) 366-9166

22054 Professional Dr
Ste D
Reed City, MI 49677
Phone (231) 832-5532

926 N Michigan Ave
Saginaw, MI 48602
Phone (517) 753-8453

4489 M 61
Standish, MI 48658
Phone (989) 846-2600

4489 M 61
Ste 3
Standish, MI 48658
Phone 4489613486 ext. 1639

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20451/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rachel.peterson.1@20451.direct.athenahealth.com
  • Direct secure messaging: rlundahl67249@direct.covenanthealthcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1447734017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.