Active NPI
Lindsey Marie Sloan Peterson, NP
- Psychiatric/Mental Health Nurse Practitioner
- Fargo, ND
National Provider Identifier
1699102897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R34998
- Practice address
- 100 4TH St S
Fargo, ND 58103-1929 - Phone
- (701) 234-3100
- Fax
- (701) 234-3120
- NPI assigned
- Oct 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R34998 | ND | Primary |
Addresses
Primary practice location
100 4TH St S
Fargo, ND 58103-1929
Mailing address
Essentia Health Duluth Clinic McL2Cred
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-3146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Dakota School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
502 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-8364
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3353 | MN | MD | Chiropractor |
| R34998 | ND | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic LTD | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| St. Joseph'S Medical Center | Current | Accepting new patients | |
| St Joseph'S Medical Center | Current | Accepting new patients |
Locations
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
502 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- Multi-Specialty Clinic/Center
- Staples, MN
- NPI 1538916101
-
- Primary Care Clinic/Center
- Pierz, MN
- NPI 1568418861
-
- Multi-Specialty Clinic/Center
- Hermantown, MN
- NPI 1003478892
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brainerd, MN
- NPI 1568415974
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brainerd, MN
- NPI 1740393032
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1699102897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ESSENTIA HEALTH DULUTH CLINIC MCL2CRED",
"address_2": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-3146",
"fax_number": "218-722-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-234-3100",
"fax_number": "701-234-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LINDSEY",
"middle_name": "MARIE SLOAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ND",
"license": "R34998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.