Katie Peterson, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017021979 Issued in MO

Practice address

1600 N Missouri Ave
Marceline, MO 64658-1012

Phone

(660) 376-2038

Fax

(660) 376-3011

NPI assigned

Jul 25, 2017

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 MO

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Jefferson City, MO, CCN 267600
• Pershing Memorial Hospital Hospital, Brookfield, MO, CCN 261307
• Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.peterson.p1@direct.compasshn.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.

• Compass Health, Inc

  • Community/Behavioral Health Agency
  • Clinton, MO
  • NPI 1285619494
  Medicare reassignment Care Compare group NPD
• Compass Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1558258632
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• General John J Pershing Memorial Hospital Association

  • Critical Access Hospital
  • Brookfield, MO
  • NPI 1417991159
  Care Compare affiliation
• Pyramid Home Health Services- Jefferson City, Inc

  • Home Health Agency
  • Jefferson City, MO
  • NPI 1255379145
  Care Compare affiliation
• Saint Lukes Hospital of Chillicothe

  • Critical Access Hospital
  • Chillicothe, MO
  • NPI 1912948308
  Care Compare affiliation

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1477076073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI AVE",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "646581012",
            "telephone_number": "660-376-2038",
            "fax_number": "660-376-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI AVE",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "646581012",
            "telephone_number": "660-376-2038",
            "fax_number": "660-376-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KATIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017021979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy Kay Kolkmeyer, PHARM D
• Amanda Molloy, RDH
• Brenda L Niemeier
• Betty Anne Noll, M.D.
• Northeast Family Chiropractic
• Pioneer Nursing, LLC
• Relief Chiropractic LLC
• Rachel Elise Schmitt, MSW, LCSW, ACSW
• Sarah M Stallo, LCSW
• Lorene L Stephan, A.R.N.P.

• Family Nurse Practitioner in Marceline, MO
• Providers in Marceline, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; 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.