ALICIA PETERSON (APRN, CNP, CNM) – Nurse Practitioner, NPI 1942759576
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
251 CERTIFIED NURSE MIDWIFE (CNM) in MN
Provider Addresses for ALICIA PETERSON (APRN, CNP, CNM)
824 N 11TH ST
MONTEVIDEO, MN 562651629
Phone: (320) 269-8877
Fax: (320) 321-8200
Type: Location
237 2nd Ave
Milan, MN 56262
Phone: (320) 269-8877
Type: Location
Chippewa County-Montevideo Hospital, 824, North 11th Street, Montevideo, Chippewa County, Minnesota, 56265, United States
MONTEVIDEO, MN 562651629
Phone: (320) 269-8877
Fax: (320) 269-8186
Type: Mailing
Johnson Memorial Health Services, 1282, Walnut Street, Dawson, Lac qui Parle County, Minnesota, 56232, United States
DAWSON, MN 562322333
Phone: (320) 312-2118
Fax: (320) 769-4576
Type: Location
1282 WALNUT ST
DAWSON, MN 562322333
Phone: (320) 769-4393
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: 2022-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161020001390 | I | Nurse Practitioner | MN | TBD |
| I20221118000849 | I | Certified Nurse Midwife (Cnm) | MN | 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 56265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | CT | |
| - | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice, Internal Medicine | MN | |
| Certified Nurse Midwife (Cnm) | MN |
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