DR. JANE MARIE PETERSON (MD) – Family Medicine Physician, NPI 1821057662

DR. JANE MARIE PETERSON (MD) is a healthcare provider. based in Paynesville, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 38050 (MN). The NPI Number for DR. JANE MARIE PETERSON (MD) is 1821057662

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANE MARIE PETERSON (MD)
NPI
1821057662
Phone
(320) 243-3779
Address
200 W 1ST ST
Enumeration Date
21 March 2006
Last Update Date
5 January 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3202275000
Graduation Year
1994 (32 years ago)
PAC ID
0042206344
Group Practice PAC ID
1557617354
Professional Enrollment ID
I20040422000575
Address ID
MN563016251SA3290XSXXX400
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

3,076 FAMILY PRACTICE in MN

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Provider Addresses for DR. JANE MARIE PETERSON (MD)

  • CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States

    PAYNESVILLE, MN 563621445

    Phone: (320) 243-3779

    Fax: (320) 243-7509

    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)

CMS reports 7 Open Payments records for all available years, with a total value of $148.

Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($50).

Total Amount

$148

General + Research + Ownership

Payments

7

Total payment records

General Amount

$148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-04-22

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
I20040422000575IFamily PracticeMNTBD

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
36415Insertion of needle into vein for collection of blood sample10970$0
99214Established patient office or other outpatient visit, 30-39 minutes10871$0
99213Established patient office or other outpatient visit, 20-29 minutes4340$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
G0444Annual depression screening, 5 to 15 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 56362)

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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: 1557617354View full group profile
NameSpecialtyState
Family PracticeMN
Registered Dietitian Or Nutrition ProfessionalMN
Nurse PractitionerND
Family PracticeMN
Physician AssistantMN
General SurgeryMN
Physician AssistantMN
Nurse PractitionerMN
Physician AssistantMN
Family Practice, Obstetrics/GynecologyMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Is there an official ID for DR. JANE MARIE PETERSON (MD) in U.S. healthcare records?
The official identifier for DR. JANE MARIE PETERSON (MD) is NPI 1821057662.
Is there an active status for DR. JANE MARIE PETERSON (MD)?
For scheduling context, DR. JANE MARIE PETERSON (MD) is shown as active in the registry.
How would a patient describe DR. JANE MARIE PETERSON (MD)'s focus?
For DR. JANE MARIE PETERSON (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JANE MARIE PETERSON (MD)?
Directory geography for DR. JANE MARIE PETERSON (MD) centers on Paynesville, Minnesota.
When was this NPI issued?
Enumeration for DR. JANE MARIE PETERSON (MD) is noted as March 21, 2006 where the registry provides it.

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