DEBORAH K PETERSON (NP) – Adult Health Nurse Practitioner, NPI 1841204005

DEBORAH K PETERSON (NP) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71000238A (IN). The NPI Number for DEBORAH K PETERSON (NP) is 1841204005

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH K PETERSON (NP)
NPI
1841204005
Phone
(239) 343-9100
Address
9131 COLLEGE POINTE CT
Enumeration Date
27 July 2006
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2394320101
Graduation Year
2012 (14 years ago)
PAC ID
7214959931
Group Practice PAC ID
9335672146
Professional Enrollment ID
I20210916001331
Address ID
FL339193245FO9131XCTXX400
Telehealth
Yes

Contacts

Secure Messaging
dpeterson276248@Direct.leememorial.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

24,243 NURSE PRACTITIONER in FL

Provider Addresses for DEBORAH K PETERSON (NP)

  • 9131 COLLEGE POINTE CT

    FORT MYERS, FL 339193245

    Phone: (239) 343-9100

    Fax: (239) 343-9108

    Type: Location

  • PO BOX 2147

    FORT MYERS, FL 339022147

    Phone: (239) 343-9100

    Fax: (239) 343-9108

    Type: Mailing

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502890

    Phone: (317) 621-6180

    Fax: (317) 621-6177

    Type: Mailing

  • 9669, East 146th Street, Noblesville, Hamilton County, Indiana, 46060, United States

    SUITE 310

    NOBLESVILLE, IN 460605005

    Phone: (317) 621-6170

    Fax: (317) 621-6177

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $121.

Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($121).

Total Amount

$121

General + Research + Ownership

Payments

1

Total payment records

General Amount

$121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mirati Therapeutics, Inc.$121
View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-16

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
I20210916001331INurse PractitionerFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes256170$0
99213Established patient office or other outpatient visit, 20-29 minutes185149$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit109109$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3333$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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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: 9335672146View full group profile
NameSpecialtyState
R H E U M A T O L O G YFL
Nurse PractitionerFL
Critical Care (Intensivists), Pediatric MedicineFL
General SurgeryMI
N E U R O L O G YMO
Medical Genetics And GenomicsMI
Nurse PractitionerFL
Family PracticeFL
General SurgeryFL
Family PracticeFL

Reviews

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Frequently asked questions

Does DEBORAH K PETERSON (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DEBORAH K PETERSON (NP) uses 1841204005.
Can I rely on DEBORAH K PETERSON (NP) being an active provider?
As of the registry snapshot, DEBORAH K PETERSON (NP) is marked active.
What healthcare role does DEBORAH K PETERSON (NP) hold?
Scheduling teams often label DEBORAH K PETERSON (NP) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is DEBORAH K PETERSON (NP) based?
DEBORAH K PETERSON (NP) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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