DR. CONNIE LYNN PETERSEN (PHD) – Clinical Psychologist, NPI 1598958811
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 CLINICAL PSYCHOLOGIST in NE
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Provider Addresses for DR. CONNIE LYNN PETERSEN (PHD)
Norfolk Family Medicine, 900, West Norfolk Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States
NORFOLK, NE 687010000
Phone: (402) 370-3140
Fax: (402) 370-3373
Type: Mailing
333 W NORFOLK AVE STE 201
NORFOLK, NE 687015221
Phone: (402) 379-2030
Fax: (402) 379-3933
Type: Location
1900 VICKI LN
NORFOLK, NE 687014558
Phone: (402) 370-3140
Fax: (402) 844-3131
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.
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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: 2009-09-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090908000584 | I | Clinical Psychologist | NE | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 224 | 23 | $0 |
| 90834 | Psychotherapy, 45 minutes | 48 | 16 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 17 | 17 | $0 |
Insurance plans in this area (ZIP 68701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NE | |
| Mental Health Counselor | NE | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE | |
| Mental Health Counselor | NE |
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