DR. JEFFERY LEE PETERSON (M.D.) – Family Medicine Physician, NPI 1639229255

DR. JEFFERY LEE PETERSON (M.D.) is a healthcare provider. based in Sartell, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 1067 (SD). The NPI Number for DR. JEFFERY LEE PETERSON (M.D.) is 1639229255

Main info

Male
Name
DR. JEFFERY LEE PETERSON (M.D.)
NPI
1639229255
Phone
(605) 997-2642
Address
1027 LAWRENCE CIR
Enumeration Date
12 January 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JEFFERY LEE PETERSON (M.D.)

  • 1027, Lawrence Circle, Sartell, Stearns County, Minnesota, 56377, United States

    SARTELL, MN 563772081

    Phone: (605) 997-2642

    Fax: (605) 997-9940

    Type: Mailing

  • 701, West Broad Avenue, Flandreau, Flandreau Township, Moody County, South Dakota, 57028, United States

    FLANDREAU, SD 570281529

    Phone: (605) 997-2642

    Fax: (605) 997-9940

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-05-11

PECOS data refreshed: 2026-05-27

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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 56377)

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Reviews

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Frequently asked questions

What is DR. JEFFERY LEE PETERSON (M.D.)'s NPI number?
DR. JEFFERY LEE PETERSON (M.D.)'s NPI is 1639229255 — the number used across U.S. healthcare to identify this provider.
Would DR. JEFFERY LEE PETERSON (M.D.) appear as active to a payer?
You can treat DR. JEFFERY LEE PETERSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JEFFERY LEE PETERSON (M.D.)?
DR. JEFFERY LEE PETERSON (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JEFFERY LEE PETERSON (M.D.)?
Directory geography for DR. JEFFERY LEE PETERSON (M.D.) centers on Sartell, Minnesota.
Can I trust this NPI listing for DR. JEFFERY LEE PETERSON (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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