KENT PETERSEN (RN) – Registered Nurse, NPI 1053559401

KENT PETERSEN (RN) is a healthcare provider. based in Normal, Illinois. specializing in Registered Nurse. They hold the professional credentials RN. They hold a License No. 041300994 (IL). The NPI Number for KENT PETERSEN (RN) is 1053559401

Main info

Male
Name
KENT PETERSEN (RN)
NPI
1053559401
Phone
(309) 846-4716
Address
1604 VISA DR STE 1
Enumeration Date
22 January 2009
Last Update Date
22 January 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KENT PETERSEN (RN)

  • Visa Drive, Normal, McLean County, Illinois, 61761, United States

    NORMAL, IL 617612195

    Phone: (309) 846-4716

    Fax: (409) 454-1107

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 61761)

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Reviews

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Frequently asked questions

What is the registry number for KENT PETERSEN (RN)?
The registry entry for KENT PETERSEN (RN) shows NPI 1053559401.
Quick check: is KENT PETERSEN (RN) active?
Public NPPES data shows KENT PETERSEN (RN) with an active NPI status right now.
Which specialty label fits KENT PETERSEN (RN)?
NPPES ties KENT PETERSEN (RN) to Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KENT PETERSEN (RN) in Normal, Illinois?
For routing, start with Normal, Illinois for KENT PETERSEN (RN), then verify phone and hours locally.
Why is information missing for KENT PETERSEN (RN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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