BEVIN R PETERSON (FNP-C) – Family Nurse Practitioner, NPI 1053162099

BEVIN R PETERSON (FNP-C) is a healthcare provider. based in Littleton, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APN.0999620-NP (CO). The NPI Number for BEVIN R PETERSON (FNP-C) is 1053162099

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BEVIN R PETERSON (FNP-C)
NPI
1053162099
Phone
(303) 921-5115
Address
8962 W TEMPLE PL
Enumeration Date
28 March 2024
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7209812069
Graduation Year
2023 (3 years ago)
PAC ID
3577074954
Group Practice PAC ID
5597821280
Professional Enrollment ID
I20250613000007
Address ID
CO801273700LI11747AVEX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for BEVIN R PETERSON (FNP-C)

  • 8962 W TEMPLE PL

    LITTLETON, CO 801231821

    Phone: (303) 921-5115

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250613000007INurse PractitionerCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80123)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597821280View full group profile

Reviews

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Frequently asked questions

Where can patients find BEVIN R PETERSON (FNP-C)'s NPI?
You can confirm BEVIN R PETERSON (FNP-C) with NPI 1053162099; it appears in the national provider directory.
Is BEVIN R PETERSON (FNP-C)'s NPI currently valid?
The extract we use shows BEVIN R PETERSON (FNP-C) as active.
Can you summarize BEVIN R PETERSON (FNP-C)'s specialty in plain language?
Clinically, the directory lists BEVIN R PETERSON (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is BEVIN R PETERSON (FNP-C)'s primary listing?
We display Littleton, Colorado because that is what the record indicates for BEVIN R PETERSON (FNP-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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