HEIKE PETERSEN (NP) – Family Nurse Practitioner, NPI 1720406960

HEIKE PETERSEN (NP) is a healthcare provider. based in Fairplay, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0995674 (CO). The NPI Number for HEIKE PETERSEN (NP) is 1720406960

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
HEIKE PETERSEN (NP)
NPI
1720406960
Phone
(719) 836-0334
Address
525 HATHAWAY STREET
Enumeration Date
4 April 2014
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3082545825
Graduation Year
2020 (6 years ago)
PAC ID
9638594658
Group Practice PAC ID
1658345657
Professional Enrollment ID
I20240613000122
Address ID
NE691622901SI1000XXING400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:12State licenses:3Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for HEIKE PETERSEN (NP)

  • 525 HATHAWAY STREET

    FAIRPLAY, CO 80444

    Phone: (719) 836-0334

    Type: Mailing

  • 1000 POLE CREEK XING

    SIDNEY, NE 691622901

    Phone: (308) 254-5825

    Type: Mailing

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: 2024-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200806003395INurse PractitionerCOTBD
I20240613000122INurse PractitionerNETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7247$0
99214Established patient office or other outpatient visit, 30-39 minutes5540$0
36415Insertion of needle into vein for collection of blood sample4133$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
G0008Administration of influenza virus vaccine1717$0
View full utilization report →

Insurance plans in this area (ZIP 80444)

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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: 1658345657View full group profile
NameSpecialtyState
Physician AssistantNE
Nurse PractitionerNE
Family PracticeNE
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Internal MedicineIL
General SurgeryNE
Nurse PractitionerNE
Internal Medicine, HospitalistOH
Physician AssistantNE
Certified Registered Nurse Anesthetist (Crna)CO
Internal MedicineNE

Reviews

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Frequently asked questions

Does HEIKE PETERSEN (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — HEIKE PETERSEN (NP) uses 1720406960.
Does the file indicate HEIKE PETERSEN (NP) is practicing under active NPI?
Directory data currently reports HEIKE PETERSEN (NP) as active.
What is HEIKE PETERSEN (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for HEIKE PETERSEN (NP) here. Clinical services aligned with this taxonomy classification.
Where should I expect HEIKE PETERSEN (NP) on a map?
Expect Fairplay, Colorado as a primary anchor for HEIKE PETERSEN (NP) unless the record lists multiple sites.
Is the information about HEIKE PETERSEN (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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