KELSEY PETERSON – Physician Assistant, NPI 1639658479
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,396 PHYSICIAN ASSISTANT in NE
Loading map...
Provider Addresses for KELSEY PETERSON
386, South Oyster Bay Road, Plainview Centre, Oyster Bay, Nassau County, New York, 11801, United States
PLAINVIEW, NE 687690386
Phone: (402) 841-4729
Type: Mailing
Norfolk Family Medicine, 900, West Norfolk Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States
NORFOLK, NE 687015006
Phone: (402) 371-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $526.
Total Amount is formed as General ($526) + Research ($0) + Ownership ($0) = $526.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alkermes, Inc. ($76).
Total Amount
$526
General + Research + Ownership
Payments
31
Total payment records
General Amount
$526
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-09-05
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 |
|---|---|---|---|---|
| I20180905003544 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 32 | 17 | $0 |
Insurance plans in this area (ZIP 68769)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| P S Y C H I A T R Y | NE | |
| Physician Assistant | NE | |
| Clinical Social Worker | NE | |
| Mental Health Counselor | NE | |
| Family Practice | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | IA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.