SHAREE PETERSEN – Physical Therapist, NPI 1104365733

SHAREE PETERSEN is a healthcare provider. based in Lincoln, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTL.0014485 (CO). The NPI Number for SHAREE PETERSEN is 1104365733

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
SHAREE PETERSEN
NPI
1104365733
Phone
(402) 484-7117
Address
1651 N 86TH ST STE 100
Enumeration Date
15 February 2017
Last Update Date
24 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5315004779
Graduation Year
2016 (10 years ago)
PAC ID
7416222997
Group Practice PAC ID
8729074166
Professional Enrollment ID
I20201012002454
Address ID
NE685023313LI345XXCIRX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

841 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

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Provider Addresses for SHAREE PETERSEN

  • 100, North 86th Street, Lincoln, Lancaster County, Nebraska, 68505, United States

    LINCOLN, NE 685053719

    Phone: (402) 484-7117

    Type: Mailing

  • 102, A Street, Lincolnton, Lincoln County, North Carolina, 28092, United States

    LINCOLN, NE 685104120

    Phone: (402) 436-2535

    Type: Location

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: 2020-10-12

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
I20201012002454IPhysical Therapist In Private PracticeNETBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes27859$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes24762$0
97530Therapy procedure using functional activities24150$0
97140Therapy procedure using manual technique, each 15 minutes19847$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care7523$0
View full utilization report →

Insurance plans in this area (ZIP 68505)

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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: 8729074166View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeVA
Occupational Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

What identifier follows SHAREE PETERSEN across health systems?
The NPI 1104365733 uniquely identifies SHAREE PETERSEN in U.S. healthcare data.
Quick check: is SHAREE PETERSEN active?
Public NPPES data shows SHAREE PETERSEN with an active NPI status right now.
What type of care does SHAREE PETERSEN provide?
SHAREE PETERSEN's profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHAREE PETERSEN?
SHAREE PETERSEN is associated with Lincoln, Nebraska 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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