THERESA A PETERSEN (APRN) – Nurse Practitioner, NPI 1649601287

THERESA A PETERSEN (APRN) is a healthcare provider. based in Oneill, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 111495 (NE). The NPI Number for THERESA A PETERSEN (APRN) is 1649601287

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
THERESA A PETERSEN (APRN)
NPI
1649601287
Phone
(402) 336-2900
Address
PO BOX 270
Enumeration Date
9 December 2013
Last Update Date
19 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6053843418
Graduation Year
2012 (14 years ago)
PAC ID
3274763164
Group Practice PAC ID
3577459700
Professional Enrollment ID
I20180702001367
Address ID
SD573809675WA513XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for THERESA A PETERSEN (APRN)

  • PO BOX 270

    ONEILL, NE 687630270

    Phone: (402) 336-2900

    Type: Mailing

  • 300 N 2ND ST

    STE 100

    ONEILL, NE 687631519

    Phone: (402) 336-2900

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Lilly USA, LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$15
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: 2018-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140219001933INurse PractitionerNETBD
I20180702001367INurse PractitionerSDTBD

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 68763)

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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: 3577459700View full group profile
NameSpecialtyState
Nurse PractitionerSD
Clinical Social WorkerSD
Nurse PractitionerSD
Nurse PractitionerSD
Nurse PractitionerSD
Family PracticeNE
Nurse PractitionerIA
Nurse PractitionerSD
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)SD
Nurse PractitionerSD

Reviews

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Frequently asked questions

Is there an official ID for THERESA A PETERSEN (APRN) in U.S. healthcare records?
The official identifier for THERESA A PETERSEN (APRN) is NPI 1649601287.
Is there an active status for THERESA A PETERSEN (APRN)?
For scheduling context, THERESA A PETERSEN (APRN) is shown as active in the registry.
What area of care is associated with THERESA A PETERSEN (APRN)?
THERESA A PETERSEN (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THERESA A PETERSEN (APRN)?
Travel planning: use Oneill, Nebraska as the reference point for THERESA A PETERSEN (APRN), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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