KATIE PETERSON (DNP) – Family Nurse Practitioner, NPI 1477076073

KATIE PETERSON (DNP) is a healthcare provider. based in Marceline, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 2017021979 (MO). The NPI Number for KATIE PETERSON (DNP) is 1477076073

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATIE PETERSON (DNP)
NPI
1477076073
Phone
(660) 376-2038
Address
1600 N MISSOURI AVE
Enumeration Date
25 July 2017
Last Update Date
5 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6603762038
Graduation Year
2017 (9 years ago)
PAC ID
0143593723
Group Practice PAC ID
1951206754
Professional Enrollment ID
I20170901000926
Address ID
MO646581012MA1600XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

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Provider Addresses for KATIE PETERSON (DNP)

  • North Missouri Avenue, Marceline, Linn County, Missouri, 64658, United States

    MARCELINE, MO 646581012

    Phone: (660) 376-2038

    Fax: (660) 376-3011

    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 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2023-02-17 • Largest payer in this snapshot: Novo Nordisk Inc ($32).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-17

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: 2017-09-01

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
I20170901000926INurse PractitionerMOTBD

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
81003Automated urinalysis test3331$0
83036Hemoglobin a1c level2619$0
87502Detection test by nucleic acid for multiple types influenza virus2121$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2020$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 64658)

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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: 1951206754View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KATIE PETERSON (DNP) in the U.S.?
In the U.S., KATIE PETERSON (DNP) is identified by NPI 1477076073.
Should I treat KATIE PETERSON (DNP) as an active provider?
Patients and plans typically see KATIE PETERSON (DNP) as active in the national extract.
What does the directory say KATIE PETERSON (DNP) does?
Insurance directories may phrase it differently, but here KATIE PETERSON (DNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KATIE PETERSON (DNP)?
KATIE PETERSON (DNP) is associated with Marceline, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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