Julie Peterson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5379126111 Issued in KS

Practice address

7011 W 121St St
Leawood, KS 66209-2009

Phone

(913) 677-3553

Fax

(913) 677-3282

NPI assigned

Jan 7, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Julie Peterson LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
  • NPI 1205535358
  Medicare reassignment NPD Authorized official
• Careconnext LLC

  • Psychiatry Physician
  • Overland Park, KS
  • NPI 1881285740
  Medicare reassignment NPD
• Clinical Associates PA

  • Specialist
  • Lenexa, KS
  • NPI 1477588085
  Medicare reassignment NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1831739945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST STE 105",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092029",
            "telephone_number": "816-533-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 W 121ST ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662092009",
            "telephone_number": "913-677-3553",
            "fax_number": "913-677-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JULIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "5379126111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100240930A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory John Peppes, DDS
• Periodontal Specialist PA
• Cory Perry
• Megan Perry
• Troy C Peters
• Michelle Renae Peterson, DNP, FNP
• Shelly Lynne Peterson, PHD
• Traci Peterson
• Mark T Pfefer, D.C.
• Philip J Gordon DDS PA

• Psychiatric/Mental Health Nurse Practitioner in Leawood, KS
• Providers in Leawood, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.