MS. JENNIFER MARIE PETERSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245322155

MS. JENNIFER MARIE PETERSON (NP) is a healthcare provider. based in Lynn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 113398 (MA). The NPI Number for MS. JENNIFER MARIE PETERSON (NP) is 1245322155

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER MARIE PETERSON (NP)
NPI
1245322155
Phone
(781) 477-7222
Address
20 CENTRAL AVE
Enumeration Date
28 September 2006
Last Update Date
3 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9592167305
Graduation Year
2003 (23 years ago)
PAC ID
8921445479
Group Practice PAC ID
0042217507
Professional Enrollment ID
I20240320002198
Address ID
MA019011314LY269XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MS. JENNIFER MARIE PETERSON (NP)

  • 20, Central Avenue, Lynn, Essex County, Massachusetts, 01901, United States

    LYNN COMMUNITY HEALTH CENTER

    LYNN, MA 019011201

    Phone: (781) 477-7222

    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: 2024-03-20

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
I20240320002198INurse 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.

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

Insurance plans in this area (ZIP 01901)

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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: 0042217507View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
-MA
Family PracticeMA
Family PracticeMA
Clinical Social WorkerMA
Nurse PractitionerMA
Mental Health CounselorMA
Physician AssistantMA
Family PracticePA

Reviews

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Frequently asked questions

How is MS. JENNIFER MARIE PETERSON (NP) identified in CMS data?
CMS-hosted NPPES data lists MS. JENNIFER MARIE PETERSON (NP) with NPI 1245322155.
Does CMS list MS. JENNIFER MARIE PETERSON (NP) as active?
Yes — MS. JENNIFER MARIE PETERSON (NP) is active in the NPI listing used on this page.
What is MS. JENNIFER MARIE PETERSON (NP)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MS. JENNIFER MARIE PETERSON (NP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. JENNIFER MARIE PETERSON (NP)?
MS. JENNIFER MARIE PETERSON (NP)'s geographic hint is Lynn, Massachusetts in our summary view.
Why does MS. JENNIFER MARIE PETERSON (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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