Active NPI
Nanette Peters, FNP - BC
- Family Nurse Practitioner
- Traverse City, MI
National Provider Identifier
1962826230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704194516
- Practice address
- 3529 W Front St Ste a
Traverse City, MI 49684-7484 - Phone
- (231) 935-7548
- Fax
- (231) 392-0334
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704194516 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704194516 | MI | Primary |
Addresses
Primary practice location
3529 W Front St Ste a
Traverse City, MI 49684-7484
Mailing address
PO Box 1131
Traverse City, MI 49685-1131
Phone (231) 935-6080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nanette.peters@mbh.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| N'Orthopedics PC | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1962826230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1131",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496851131",
"telephone_number": "231-935-6080",
"fax_number": "231-935-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3529 W FRONT ST STE A",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496847484",
"telephone_number": "231-935-7548",
"fax_number": "231-392-0334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "NANETTE",
"credential": "FNP - BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704194516",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704194516",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nanette.peters@mbh.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1105 Sixth St",
"city": "Traverse City",
"state": "MI",
"country_code": "US",
"postal_code": "496842345",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.