Individual provider Active NPI

Peyton Hantelman, ARNP-FNP

  • Family Nurse Practitioner
  • Spencer, IA
National Provider Identifier
1700504776
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A171375 Issued in IA
Practice address
1801 Norris PL
Spencer, IA 51301-3411
Phone
(712) 580-4570
Fax
(712) 580-4573
NPI assigned
Aug 16, 2022
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 68752 MN
Family Nurse Practitioner 363LF0000X A171375 IN
Family Nurse Practitioner 363LF0000X A171375 IA Primary

Addresses

Primary practice location

1801 Norris PL
Spencer, IA 51301-3411

Mailing address

1801 Norris PL
Spencer, IA 51301-3411
Phone (712) 209-6642

Other practice location 1

412 6th St
Armstrong, IA 50514-7432
Phone (507) 238-4949

Other practice location 2

717 S State St Ste 900
Fairmont, MN 56031-4469
Phone (507) 238-4949

Other practice location 3

337 11th St SW
Spencer, IA 51301-5849
Phone (712) 580-4570

Other practice location 4

1820 Central Ave
Estherville, IA 51334-2409
Phone (712) 362-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221213000395 IA Practitioner - Nurse Practitioner 6002285103 Reassigns benefits to 2 organizations
I20230412000886 MN Practitioner - Nurse Practitioner 6002285103

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Health Northwest PLLCGroup PAC ID 2668904319, 7 clinicians

Practice addresses (Care Compare)

1801 Norris Place
Spencer, IA 51301-2217
Phone (712) 580-4570

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A171375INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Health Northwest PLLC Family CurrentSince Sep 13, 2024 Accepting new patients

Locations

1801 Norris Pl
Spencer, IA 51301
Phone (712) 580-4570

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1700504776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NORRIS PL",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013411",
            "telephone_number": "712-209-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NORRIS PL",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013411",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 6th St",
            "address_purpose": "LOCATION",
            "city": "Armstrong",
            "state": "IA",
            "postal_code": "505147432",
            "country_code": "US",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 S State St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "MN",
            "postal_code": "560314469",
            "country_code": "US",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 11th St SW",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513015849",
            "country_code": "US",
            "telephone_number": "712-580-4570",
            "fax_number": "712-580-4573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Estherville",
            "state": "IA",
            "postal_code": "513342409",
            "country_code": "US",
            "telephone_number": "712-362-5236",
            "fax_number": "507-238-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANTELMAN",
        "first_name": "PEYTON",
        "credential": "ARNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "68752",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "A171375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

Verify at the official NPI Registry.