HOLLY CHRISTINE PETERSON (MD, SFHM) – Hospitalist Physician, NPI 1356339303

HOLLY CHRISTINE PETERSON (MD, SFHM) is a healthcare provider. based in St cloud, Minnesota. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD, SFHM. They hold a License No. 44593 (MN). The NPI Number for HOLLY CHRISTINE PETERSON (MD, SFHM) is 1356339303

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY CHRISTINE PETERSON (MD, SFHM)
NPI
1356339303
Phone
(320) 251-2700
Address
1200 SIXTH AVE N
Enumeration Date
12 October 2005
Last Update Date
30 October 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
8022150853
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20100116000241
Address ID
MN563035000SA1900XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for HOLLY CHRISTINE PETERSON (MD, SFHM)

  • 1200 SIXTH AVE N

    CENTRA CARE CLINIC

    ST CLOUD, MN 563032735

    Phone: (320) 251-2700

    Fax: (320) 240-2118

    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: 2010-01-16

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
I20100116000241IInternal MedicineMNTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes135133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only107102$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5756$0
99291Critical care, first 30-74 minutes3918$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for HOLLY CHRISTINE PETERSON (MD, SFHM)?
HOLLY CHRISTINE PETERSON (MD, SFHM) — NPI 1356339303 — is the standard way to identify this listing.
Does the file indicate HOLLY CHRISTINE PETERSON (MD, SFHM) is practicing under active NPI?
Directory data currently reports HOLLY CHRISTINE PETERSON (MD, SFHM) as active.
What is HOLLY CHRISTINE PETERSON (MD, SFHM)'s specialty?
The listing groups HOLLY CHRISTINE PETERSON (MD, SFHM) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What area does HOLLY CHRISTINE PETERSON (MD, SFHM) serve?
HOLLY CHRISTINE PETERSON (MD, SFHM)'s listing highlights St Cloud, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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