Active NPI
Jacqueline M Peterson
- Advanced Practice Midwife
- Exeter, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 072928-23
- Practice address
- 3 Alumni Dr Ste 401
Exeter, NH 03833-2123 - Phone
- (603) 778-0557
- Fax
- (603) 778-1669
- NPI assigned
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 072928-23 | NH | Primary |
| Family Nurse Practitioner | 363LF0000X | 072928-23 | NH |
Addresses
Primary practice location
3 Alumni Dr Ste 401
Exeter, NH 03833-2123
Mailing address
4 Alumni Dr
Exeter, NH 03833-2118
Phone (603) 778-0557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161017002016 | NH | Practitioner - Nurse Practitioner | 5092003590 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 072928-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Core Physicians LLC | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Core Physicians, LLC | Current | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338
3 Alumni Dr
Ste 401
Exeter, NH 03833
Phone (603) 778-0557
4 Alumni Dr
Exeter, NH 03833
Phone (603) 580-7653
7 Holland Way
#1
Exeter, NH 03833
3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180
5 Alumni Dr
Ste 401
Exeter, NH 03833
127 Plaistow Rd
Plaistow, NH 03865
Phone (603) 382-4972
127 Plaistow Rd
#2
Plaistow, NH 03865
121 Corporate Dr
Bldg C
Portsmouth, NH 03801
Phone (603) 740-8787
Interoperability endpoints
- jpeterson519810@direct.bilh.masshiway.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
NH
-
- Durable Medical Equipment & Medical Supplies
- Raymond, NH
- NPI 1083085724
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1972960110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ALUMNI DR",
"city": "EXETER",
"state": "NH",
"postal_code": "038332118",
"telephone_number": "603-778-0557",
"fax_number": "603-778-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ALUMNI DR STE 401",
"city": "EXETER",
"state": "NH",
"postal_code": "038332123",
"telephone_number": "603-778-0557",
"fax_number": "603-778-1669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "JACQUELINE",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NH",
"license": "072928-23",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "072928-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Exeter, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.