JENNIFER MARIE PETERSEN (AGNP-C) – Adult Health Nurse Practitioner, NPI 1740705003

JENNIFER MARIE PETERSEN (AGNP-C) is a healthcare provider. based in Westlake, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGNP-C. They hold a License No. APRN.CNP.020810 (OH). The NPI Number for JENNIFER MARIE PETERSEN (AGNP-C) is 1740705003

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARIE PETERSEN (AGNP-C)
NPI
1740705003
Phone
(440) 465-7124
Address
1892 BASSETT RD
Enumeration Date
8 August 2017
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
2164445433
Graduation Year
2016 (10 years ago)
PAC ID
4082976857
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20180315001878
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for JENNIFER MARIE PETERSEN (AGNP-C)

  • Bassett Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441451909

    Phone: (440) 465-7124

    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)

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: 2018-03-15

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
I20180315001878INurse PractitionerOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes724248$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes371167$0
99315Nursing facility discharge day management, 30 minutes or less6158$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 44145)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

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Frequently asked questions

Is there an official ID for JENNIFER MARIE PETERSEN (AGNP-C) in U.S. healthcare records?
The official identifier for JENNIFER MARIE PETERSEN (AGNP-C) is NPI 1740705003.
Is JENNIFER MARIE PETERSEN (AGNP-C) still an active registrant?
JENNIFER MARIE PETERSEN (AGNP-C) carries an active NPI according to the public dataset.
What area of care is associated with JENNIFER MARIE PETERSEN (AGNP-C)?
JENNIFER MARIE PETERSEN (AGNP-C)'s record emphasizes Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER MARIE PETERSEN (AGNP-C) located near Westlake?
JENNIFER MARIE PETERSEN (AGNP-C) currently maps to Westlake, Ohio in this extract.
When was this NPI issued?
Enumeration for JENNIFER MARIE PETERSEN (AGNP-C) is noted as August 8, 2017 where the registry provides it.

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