SARAH MARIE PETERSON – Psychiatric/Mental Health Nurse Practitioner, NPI 1255031597

SARAH MARIE PETERSON is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 863846 (NV). The NPI Number for SARAH MARIE PETERSON is 1255031597

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SARAH MARIE PETERSON
NPI
1255031597
Phone
(702) 275-6453
Address
9416 LOW TIDE CT
Enumeration Date
6 March 2023
Last Update Date
6 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7022940433
Graduation Year
2022 (4 years ago)
PAC ID
5890141030
Group Practice PAC ID
3971752684
Professional Enrollment ID
I20231025001086
Address ID
NV890525082HE2360XPKWY502
Telehealth
Yes
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

2,947 NURSE PRACTITIONER in NV

Provider Addresses for SARAH MARIE PETERSON

  • 9416 LOW TIDE CT

    LAS VEGAS, NV 891170278

    Phone: (702) 275-6453

    Type: Mailing

  • 375 N STEPHANIE ST BLDG 8

    HENDERSON, NV 890148771

    Phone: (702) 294-0433

    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: 2023-10-25

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
I20231025001086INurse PractitionerNVTBD

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 89117)

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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: 3971752684View full group profile
NameSpecialtyState
Clinical Social WorkerNV
Marriage And Family TherapistNV
Mental Health CounselorNV
Mental Health CounselorNV
-NV
Physician AssistantAK
Clinical Social WorkerNV
Mental Health CounselorFL
Clinical Social WorkerCA
Mental Health CounselorNV

Reviews

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Frequently asked questions

What identifier follows SARAH MARIE PETERSON across health systems?
The NPI 1255031597 uniquely identifies SARAH MARIE PETERSON in U.S. healthcare data.
Quick check: is SARAH MARIE PETERSON active?
Public NPPES data shows SARAH MARIE PETERSON with an active NPI status right now.
What does the directory say SARAH MARIE PETERSON does?
Insurance directories may phrase it differently, but here SARAH MARIE PETERSON maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SARAH MARIE PETERSON tied to Las Vegas, Nevada?
If you are local to Las Vegas, Nevada, SARAH MARIE PETERSON may be relevant to your search.
Why is information missing for SARAH MARIE PETERSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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