MRS. KENDALL KRISTINE PETERSON (APRN- NP) – Acute Care Nurse Practitioner, NPI 1134857360

MRS. KENDALL KRISTINE PETERSON (APRN- NP) is a healthcare provider. based in Lincoln, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN- NP. They hold a License No. 114336 (NE). The NPI Number for MRS. KENDALL KRISTINE PETERSON (APRN- NP) is 1134857360

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KENDALL KRISTINE PETERSON (APRN- NP)
NPI
1134857360
Phone
(402) 750-3018
Address
2222 S 16TH ST STE 405
Enumeration Date
15 August 2022
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024751011
Graduation Year
2022 (4 years ago)
PAC ID
0547646283
Group Practice PAC ID
2365334364
Professional Enrollment ID
I20221003002363
Address ID
NE685023704LI2300XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,114 NURSE PRACTITIONER in NE

Provider Addresses for MRS. KENDALL KRISTINE PETERSON (APRN- NP)

  • 2222 S 16TH ST STE 405

    LINCOLN, NE 685023793

    Phone: (402) 750-3018

    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 3 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Integra LifeSciences Corporation ($73).

Total Amount

$73

General + Research + Ownership

Payments

3

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2022-10-03

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
I20221003002363INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68502)

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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: 2365334364View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Hospitalist, Internal MedicineNE
Physician AssistantNE
H O S P I T A L I S TNE
Nurse PractitionerNE
Physician AssistantNE
-NE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What is the registry number for MRS. KENDALL KRISTINE PETERSON (APRN- NP)?
The registry entry for MRS. KENDALL KRISTINE PETERSON (APRN- NP) shows NPI 1134857360.
Quick check: is MRS. KENDALL KRISTINE PETERSON (APRN- NP) active?
Public NPPES data shows MRS. KENDALL KRISTINE PETERSON (APRN- NP) with an active NPI status right now.
How should patients interpret MRS. KENDALL KRISTINE PETERSON (APRN- NP)'s specialty?
The extract shows Acute Care Nurse Practitioner for MRS. KENDALL KRISTINE PETERSON (APRN- NP). Clinical services aligned with this taxonomy classification.
Is MRS. KENDALL KRISTINE PETERSON (APRN- NP) tied to Lincoln, Nebraska?
If you are local to Lincoln, Nebraska, MRS. KENDALL KRISTINE PETERSON (APRN- NP) may be relevant to your search.
Why is information missing for MRS. KENDALL KRISTINE PETERSON (APRN- NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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