Nikki Michele Peterson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F001849 Issued in NY

Practice address

17 Sherman St Ste 2100
Jamestown, NY 14701-7087

Phone

(716) 664-8510

Fax

(716) 664-8514

NPI assigned

Aug 4, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Great Lakes Physician Practice PC

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1730599176
  Medicare reassignment Care Compare group NPD
• Lane Women'S Health Group PC

  • Obstetrics & Gynecology Physician
  • Jamestown, NY
  • NPI 1265760235

  Advanced Practice Midwife

  Medicare reassignment NPD
• Jamestown Area Medical Associates, L.L.P.

  • Internal Medicine Physician
  • Jamestown, NY
  • NPI 1528010766
  NPD
• Lane Women'S Health GR.

  • Obstetrics & Gynecology Physician
  • Jamestown, NY
  • NPI 1407957566
  NPD (past)
• Damian T Horner DO Family Practice

  • Family Medicine Physician
  • Warren, PA
  • NPI 1154745255
  NPD (past)
• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701
  NPD (past)
• Warren Healthcare Associates, Inc

  • Specialist
  • Warren, PA
  • NPI 1316982341
  NPD (past)

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1699906065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 SHERMAN ST STE 2100",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017087",
            "telephone_number": "716-664-8510",
            "fax_number": "716-664-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SHERMAN ST STE 2100",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017087",
            "telephone_number": "716-664-8510",
            "fax_number": "716-664-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "NIKKI",
        "middle_name": "MICHELE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010172",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04739057",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikki.m.peterson@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UPMCHospitals@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Albert Persia, M.D.
• Hunter Peterson
• Jacquelyn Peterson
• Lauraine Alice Peterson
• Michael Carl Peterson, P.T.
• Jennifer Rae Phillips, MS, CCC-SLP/L
• Anne Piazza, SOCIAL WORKER
• Krissy Ann Piazza, LPN
• Shelley Lynn Piazza, RPH
• Dawn M Pickett, MSN, RN

• Advanced Practice Midwife in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.