MRS. HEIDI ANN PETERSON (CNP) – Nurse Practitioner, NPI 1871945469

MRS. HEIDI ANN PETERSON (CNP) is a healthcare provider. based in Lake city, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 1795330 (MN). The NPI Number for MRS. HEIDI ANN PETERSON (CNP) is 1871945469

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HEIDI ANN PETERSON (CNP)
NPI
1871945469
Phone
(651) 345-3321
Address
500 W GRANT ST
Enumeration Date
7 July 2016
Last Update Date
24 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072842511
Graduation Year
2016 (10 years ago)
PAC ID
4981999042
Group Practice PAC ID
6507778255
Professional Enrollment ID
I20160829001173
Address ID
MN559050001RO200XXSWXX400

Contacts

Secure Messaging
heisenman88067@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:9State licenses:3Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for MRS. HEIDI ANN PETERSON (CNP)

  • Mayo Clinic Health System Lake City, 500, West Grant Street, Lake City, Goodhue County, Minnesota, 55041, United States

    LAKE CITY, MN 550411143

    Phone: (651) 345-3321

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

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: 2016-08-29

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
I20160829001173INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif20034$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes19148$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month5928$0
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month4526$0
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month4113$0
View full utilization report →

Insurance plans in this area (ZIP 55041)

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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: 6507778255View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MRS. HEIDI ANN PETERSON (CNP)?
Save NPI 1871945469 if you need a stable reference for MRS. HEIDI ANN PETERSON (CNP).
Is MRS. HEIDI ANN PETERSON (CNP) active in the national directory?
MRS. HEIDI ANN PETERSON (CNP)'s public NPI profile is in an active state.
What kind of provider is MRS. HEIDI ANN PETERSON (CNP)?
The page reflects Nurse Practitioner for MRS. HEIDI ANN PETERSON (CNP). Clinical services aligned with this taxonomy classification.
Where is MRS. HEIDI ANN PETERSON (CNP)'s primary listing?
We display Lake City, Minnesota because that is what the record indicates for MRS. HEIDI ANN PETERSON (CNP).
What if Lake City, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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