Michelle Jacquelyn Peterson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN2266613 Issued in MA

Practice address

70 East St
Methuen, MA 01844-4597

Phone

(978) 687-0151

NPI assigned

Aug 12, 2013

Sex

Female

Sole proprietor

Yes

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 MA, NH2 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

Specialty

Nurse Practitioner

Education

University of Massachusetts Medical School, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkland Medical Center Hospital, Derry, NH, CCN 300017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment NPD
• Express Med at Salem, LLC

  • Urgent Care Clinic/Center
  • Salem, NH
  • NPI 1164831806
  Medicare reassignment NPD
• Expressmed, LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1295856896
  Medicare reassignment NPD
• Emergency Medicine Services of NH, LLC

  • Emergency Medicine Physician
  • Derry, NH
  • NPI 1386341444
  NPD
• Expressmed, LLC

  • Urgent Care Clinic/Center
  • Manchester, NH
  • NPI 1407385602
  NPD
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

• HCA Health Services of New Hampshire Inc

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1831522051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "978-687-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "978-687-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MICHELLE",
        "middle_name": "JACQUELYN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2266613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Perkins, OTR/L
• Perrault Chiropractic Offices, Inc
• Thomas S. Perrault Jr., D.C.
• Deborah A Peters, COTA
• Angela Peterson
• Lyssa Merriam Petter, MS,RD,LDN
• Jayne M Petzy, RN
• Laura Phan
• Janelle A Pinti
• James Peterson Plaisir Jr.

• Nurse Practitioner in Methuen, MA
• Providers in Methuen, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.