Individual provider Active NPI

Ashleigh Peterson, DNP, FNP-BC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1902527690
Registry record updated May 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013056A Issued in IN
Practice address
85 E US Highway 6 Ste 330
Valparaiso, IN 46383-8948
Phone
(219) 462-6144
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013056A IN Primary

Addresses

Primary practice location

85 E US Highway 6 Ste 330
Valparaiso, IN 46383-8948

Mailing address

1904 Worthington Dr
Valparaiso, IN 46383-3930
Phone (219) 771-7747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20221108000545 IN Practitioner - Nurse Practitioner 4880061647 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013056AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers, Inc. CurrentSince Mar 17, 2024 Accepting new patients
Northshore Health Centers, Inc. Family CurrentSince Mar 17, 2024 Accepting new patients
Obstetrical and Gynecological Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients

Locations

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

85 E US Highway 6
Ste 330
Valparaiso, IN 46383
Phone (219) 462-6144

Interoperability endpoints

  • Direct secure messaging: ashleigh.peterson.p1@direct.northshorehealth.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/7833/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716768000000",
    "number": "1902527690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WORTHINGTON DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833930",
            "telephone_number": "219-771-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6 STE 330",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838948",
            "telephone_number": "219-462-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ASHLEIGH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013056A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.