KELSEY PETERSON (FNP-C) – Family Nurse Practitioner, NPI 1003393604

KELSEY PETERSON (FNP-C) is a healthcare provider. based in Kearney, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 112618 (NE). The NPI Number for KELSEY PETERSON (FNP-C) is 1003393604

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY PETERSON (FNP-C)
NPI
1003393604
Phone
(308) 455-8287
Address
816 22ND AVE STE 100
Enumeration Date
26 July 2018
Last Update Date
2 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3088652263
Graduation Year
2018 (8 years ago)
PAC ID
3274885504
Group Practice PAC ID
5991195547
Professional Enrollment ID
I20181015000714
Address ID
NE688452226KE816XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for KELSEY PETERSON (FNP-C)

  • 22nd Avenue, Kearney, Buffalo County, Nebraska, 68849, United States

    KEARNEY, NE 688452226

    Phone: (308) 455-8287

    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 71 Open Payments records for all available years, with a total value of $2,895.

Total Amount is formed as General ($2,895) + Research ($0) + Ownership ($0) = $2,895.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($2,329).

Total Amount

$2,895

General + Research + Ownership

Payments

71

Total payment records

General Amount

$2,895

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2018-10-15

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
I20181015000714INurse PractitionerNETBD

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
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician3131$0
View full utilization report →

Insurance plans in this area (ZIP 68845)

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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: 5991195547View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Internal Medicine, Hospitalist, Internal MedicineFL
Certified Registered Nurse Anesthetist (Crna)NE
Interventional CardiologyMD
Nurse PractitionerNE
Thoracic SurgeryWA
General SurgeryNE
Family Practice, Hospitalist, Family PracticeNE
Hospitalist, Internal MedicineNE
Pulmonary DiseaseAZ

Reviews

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Frequently asked questions

Where can patients find KELSEY PETERSON (FNP-C)'s NPI?
You can confirm KELSEY PETERSON (FNP-C) with NPI 1003393604; it appears in the national provider directory.
Is KELSEY PETERSON (FNP-C) currently active in the NPI registry?
CMS-published data lists KELSEY PETERSON (FNP-C) as an active registrant.
What field does KELSEY PETERSON (FNP-C) work in?
You can think of KELSEY PETERSON (FNP-C) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KELSEY PETERSON (FNP-C)?
We surface Kearney, Nebraska for KELSEY PETERSON (FNP-C) based on available NPPES addresses.
What if Kearney, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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