Nathan David Petersen, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

2024039851 Issued in MO

Practice address

3801 S National Ave
Springfield, MO 65807-5210

Phone

(417) 269-6000

NPI assigned

Jul 4, 2026

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1783123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1932026416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 S VALLEY VIEW DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658078504",
            "telephone_number": "417-793-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "NATHAN",
        "middle_name": "DAVID",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2024039851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Peters, RN, IBCLC
• Stacy Peters, OTR
• Adam B Petersen, AA
• Jefferson L. Petersen, CRNA
• Larry D. Petersen, M.D.
• Craig A Peterson, MD
• James NC Peterson, DC
• Christopher L Petrey, DO
• Lauren Elaine Petry, NP
• Brett Justin Pettett, M.D.

• Critical Care Medicine Registered Nurse in Springfield, MO
• Providers in Springfield, MO by specialty
• Critical Care Medicine Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.