JOLEEN A PETERS (APRN, CNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023845377

JOLEEN A PETERS (APRN, CNP, PMHNP-BC) is a healthcare provider. based in Sandstone, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP, PMHNP-BC. They hold a License No. 12133 (MN). The NPI Number for JOLEEN A PETERS (APRN, CNP, PMHNP-BC) is 1023845377

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
JOLEEN A PETERS (APRN, CNP, PMHNP-BC)
NPI
1023845377
Phone
(320) 372-2323
Address
501 MAIN ST
Enumeration Date
18 September 2024
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3203722323
Graduation Year
2024 (2 years ago)
PAC ID
6709313414
Group Practice PAC ID
5597146852
Professional Enrollment ID
I20241219001013
Address ID
MN550724410SA501XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JOLEEN A PETERS (APRN, CNP, PMHNP-BC)

  • 501 MAIN ST

    SANDSTONE, MN 550724410

    Phone: (320) 372-2323

    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: 2024-12-19

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
I20241219001013INurse PractitionerMNTBD

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 55072)

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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: 5597146852View full group profile
NameSpecialtyState
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerCT
Nurse PractitionerMN

Reviews

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Frequently asked questions

What number should I use to identify JOLEEN A PETERS (APRN, CNP, PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1023845377 for JOLEEN A PETERS (APRN, CNP, PMHNP-BC).
Should I treat JOLEEN A PETERS (APRN, CNP, PMHNP-BC) as an active provider?
Patients and plans typically see JOLEEN A PETERS (APRN, CNP, PMHNP-BC) as active in the national extract.
What services align with JOLEEN A PETERS (APRN, CNP, PMHNP-BC)'s listing?
JOLEEN A PETERS (APRN, CNP, PMHNP-BC)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JOLEEN A PETERS (APRN, CNP, PMHNP-BC) tied to Sandstone, Minnesota?
If you are local to Sandstone, Minnesota, JOLEEN A PETERS (APRN, CNP, PMHNP-BC) may be relevant to your search.
Who maintains JOLEEN A PETERS (APRN, CNP, PMHNP-BC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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