JASON L PETERSON (APRN) – Family Nurse Practitioner, NPI 1063174597

JASON L PETERSON (APRN) is a healthcare provider. based in Crete, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 113843 (NE). The NPI Number for JASON L PETERSON (APRN) is 1063174597

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JASON L PETERSON (APRN)
NPI
1063174597
Phone
(402) 826-2102
Address
PO BOX 220
Enumeration Date
12 October 2021
Last Update Date
25 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4028262102
Graduation Year
2021 (5 years ago)
PAC ID
1153703046
Group Practice PAC ID
4385556216
Professional Enrollment ID
I20220809003458
Address ID
NE683333084CR2910XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for JASON L PETERSON (APRN)

  • PO BOX 220

    CRETE, NE 683330220

    Phone: (402) 826-2102

    Type: Mailing

  • 2910 BETTEN DR

    CRETE, NE 683333084

    Phone: (402) 826-2102

    Type: Location

  • 2310 SW 16TH ST

    LINCOLN, NE 685222428

    Phone: (402) 499-4523

    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: 2022-08-09

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
I20220809003458INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes3129$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
81002Urinalysis, manual test1514$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 68333)

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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: 4385556216View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerNE
Physician AssistantNE
Physician AssistantNE
-NE
U R O L O G YNE
Nurse PractitionerNE
Family PracticeNE
Family PracticeNE
Physician AssistantNE

Reviews

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Frequently asked questions

What NPI should I save for JASON L PETERSON (APRN)?
Save NPI 1063174597 if you need a stable reference for JASON L PETERSON (APRN).
Does this profile mean JASON L PETERSON (APRN) is currently active?
Yes — JASON L PETERSON (APRN) appears active in the national provider directory.
What field does JASON L PETERSON (APRN) work in?
You can think of JASON L PETERSON (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JASON L PETERSON (APRN)'s primary listing?
We display Crete, Nebraska because that is what the record indicates for JASON L PETERSON (APRN).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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