NPIMap

Individual provider Active NPI

Danika Marie Peterson, MD

  • Family Medicine Physician
  • Kearney, NE
National Provider Identifier
1760902159
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32345 Issued in NE
Practice address
816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone
(308) 865-2263
Fax
(308) 865-2541
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32345 NE Primary

Addresses

Primary practice location

816 22ND Ave Ste 100
Kearney, NE 68845-2226

Mailing address

816 22ND Ave Ste 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200903001319 NE Practitioner - Family Practice 9537433958 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

816 22ND Ave
Suite 100
Kearney, NE 68845-2226
Phone (308) 865-2263

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Brookestone Gardens Nursing home, Kearney, NE, CCN 285305

Merit-based Incentive Payment System (MIPS)

Final score
85.67 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
59.74

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as apm
Quality
90.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
88.55
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32345NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holdrege Medical Clinic, P.C. Family Medicine CurrentSince Nov 1, 2020 Accepting new patients
Bryan Hospital Kearney Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Bryan Hospital Kearney CurrentSince Nov 1, 2024 Accepting new patients
Platte Valley Medical Group, P.C. Past Accepting new patients

Locations

516 W 14th Ave
#100
Holdrege, NE 68949
Phone (308) 995-4431

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

Interoperability endpoints

  • Direct secure messaging: dpeterson186933@hisp.bryanhealth.org
  • Direct secure messaging: danika.peterson.1@16664.direct.athenahealth.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 and National Provider Directory roles.

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1760902159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 22ND AVE STE 100",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688452226",
            "telephone_number": "308-865-2263",
            "fax_number": "308-865-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DANIKA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "32345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.