KAREN E. PETERSON (NP) – Nurse Practitioner, NPI 1003877911

KAREN E. PETERSON (NP) is a healthcare provider. based in Rutland, Massachusetts. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 205602 (MA). The NPI Number for KAREN E. PETERSON (NP) is 1003877911

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KAREN E. PETERSON (NP)
NPI
1003877911
Phone
(978) 466-4396
Address
1 VALLEY VIEW CIR
Enumeration Date
30 March 2006
Last Update Date
20 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087912508
Graduation Year
2002 (24 years ago)
PAC ID
8022091461
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20040608000939
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KAREN E. PETERSON (NP)

  • 1, Valley View Circle, Rutland, Worcester County, Massachusetts, United States

    RUTLAND, MA 015431374

    Phone: (978) 466-4396

    Fax: (978) 466-4029

    Type: Mailing

  • 48, Nelson Street, West Leominster, Leominster, Worcester County, Massachusetts, 01453, United States

    LEOMINSTER, MA 01453

    Phone: (978) 466-4396

    Fax: (978) 466-4029

    Type: Location

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: 2004-06-08

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
I20040608000939INurse PractitionerMATBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes18073$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes3228$0
View full utilization report →

Insurance plans in this area (ZIP 01543)

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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: 5597755322View full group profile
NameSpecialtyState
Internal MedicineMA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Nurse PractitionerMA
-MA
Family PracticeTX
Physician AssistantMA

Reviews

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Frequently asked questions

What number should I use to identify KAREN E. PETERSON (NP) for billing?
Administrative and clinical systems typically use NPI 1003877911 for KAREN E. PETERSON (NP).
Does the public listing show KAREN E. PETERSON (NP) as active?
KAREN E. PETERSON (NP)'s NPI record reflects an active status in NPPES.
What services align with KAREN E. PETERSON (NP)'s listing?
KAREN E. PETERSON (NP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KAREN E. PETERSON (NP) in Rutland, Massachusetts?
For routing, start with Rutland, Massachusetts for KAREN E. PETERSON (NP), then verify phone and hours locally.
Why is information missing for KAREN E. PETERSON (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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