MS. BRENDA LYNNE PETERSON (CRNP) – Family Nurse Practitioner, NPI 1225013139

MS. BRENDA LYNNE PETERSON (CRNP) is a healthcare provider. based in Hampton, Virginia. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. UP006027-B (PA). The NPI Number for MS. BRENDA LYNNE PETERSON (CRNP) is 1225013139

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. BRENDA LYNNE PETERSON (CRNP)
NPI
1225013139
Phone
(757) 826-7516
Address
2208 EXECUTIVE DR STE E
Enumeration Date
13 December 2005
Last Update Date
4 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043333671
Graduation Year
1999 (27 years ago)
PAC ID
9032191671
Group Practice PAC ID
1254235989
Professional Enrollment ID
I20171128003344
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for MS. BRENDA LYNNE PETERSON (CRNP)

  • 2208 EXECUTIVE DR STE E

    HAMPTON, VA 236666603

    Phone: (757) 826-7516

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($31).

Total Amount

$55

General + Research + Ownership

Payments

2

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-11-28

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
I20171128003344INurse PractitionerVATBD

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 23666)

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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: 1254235989View full group profile
NameSpecialtyState
Mental Health CounselorVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Nurse PractitionerVA
Mental Health CounselorVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

How is MS. BRENDA LYNNE PETERSON (CRNP) identified in CMS data?
CMS-hosted NPPES data lists MS. BRENDA LYNNE PETERSON (CRNP) with NPI 1225013139.
Can I rely on MS. BRENDA LYNNE PETERSON (CRNP) being an active provider?
As of the registry snapshot, MS. BRENDA LYNNE PETERSON (CRNP) is marked active.
What is MS. BRENDA LYNNE PETERSON (CRNP) best known for clinically?
Directory data describes MS. BRENDA LYNNE PETERSON (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. BRENDA LYNNE PETERSON (CRNP) list a practice location?
Patients near Hampton, Virginia may find MS. BRENDA LYNNE PETERSON (CRNP) in results; validate coverage separately.
Why does MS. BRENDA LYNNE PETERSON (CRNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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