PAMELA TERESA PETERSON (NP) – Acute Care Nurse Practitioner, NPI 1255371530
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for PAMELA TERESA PETERSON (NP)
PO BOX 670884
DETROIT, MI 482670884
Phone: (800) 999-5829
Fax: (248) 641-4840
Type: Mailing
300, West Washington Avenue, Jackson, Jackson County, Michigan, 49201, United States
SUITE 300
JACKSON, MI 492012180
Phone: (517) 841-1305
Fax: (517) 841-1306
Type: Location
Detroit Fire Department Headquarters, 250, West Larned Street, Detroit, Wayne County, Michigan, 48226, United States
PO BOX 67000
DETROIT, MI 482672728
Phone: (517) 841-6913
Fax: (517) 841-6917
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 72 Open Payments records for all available years, with a total value of $1,250.
Total Amount is formed as General ($1,250) + Research ($0) + Ownership ($0) = $1,250.
Last reported payment date: 2024-11-09 • Largest payer in this snapshot: PFIZER INC. ($265).
Total Amount
$1,250
General + Research + Ownership
Payments
72
Total payment records
General Amount
$1,250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $265 |
| GlaxoSmithKline, LLC. | $216 |
| Lilly USA, LLC | $136 |
| Novo Nordisk Inc | $119 |
| Bayer Healthcare Pharmaceuticals Inc. | $55 |
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: 2005-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050730000027 | I | Nurse Practitioner | MI | TBD |
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.
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 48267)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MI | |
| - | MI | |
| Physician Assistant | OH | |
| - | MI | |
| - | MI | |
| - | MI |
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