Margery Ann Vetsch-Peterson, RN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

28347 112TH St
Zimmerman, MN 55398-4307

Phone

(763) 389-5412

Fax

(763) 389-5412

NPI assigned

Apr 9, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Senior Care Inc.

  • Home Health Agency
  • Zimmerman, MN
  • NPI 1073796322
  NPD (past) Authorized official
• Open Harbors Inc.

  • Respite Care
  • Zimmerman, MN
  • NPI 1346425543
  NPD (past) Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1962525626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28347 112TH ST",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984307",
            "telephone_number": "763-389-5412",
            "fax_number": "763-389-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28347 112TH ST",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553984307",
            "telephone_number": "763-389-5412",
            "fax_number": "763-389-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETSCH-PETERSON",
        "first_name": "MARGERY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R127273-0",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leslie Snyder, R.N.
• Toni Swanson
• Shannon Tabaka, SW
• Kathryn Thompson
• Lucas John Valerius, PHARMD
• Danelle Marie Waite
• Victoria Ann Warren
• Amanda Watters-Loew
• Christy Jeanette White, ATC
• Kelly Korene White, CNP

• Case Manager/Care Coordinator in Zimmerman, MN
• Providers in Zimmerman, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.