Nikki Michele Peterson, CNM - Medicare Advanced Practice Midwife in Jamestown, NY

Nikki Michele Peterson, CNM is a medicare enrolled "Advanced Practice Midwife" in Jamestown, New York. Her current practice location is 400 Foote Avenue, Jamestown, New York. You can reach out to her office (for appointments etc.) via phone at (716) 484-9194.

Nikki Michele Peterson is licensed to practice in New York (license number F001849) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699906065.

Contact Information

Nikki Michele Peterson, CNM
400 Foote Avenue,
Jamestown, NY 14701-6800
(716) 484-9194
(716) 484-9148



Provider's Profile

Full NameNikki Michele Peterson
GenderFemale
SpecialityAdvanced Practice Midwife
Location400 Foote Avenue, Jamestown, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699906065
  • Provider Enumeration Date: 08/04/2009
  • Last Update Date: 12/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820143266
  • Enrollment ID: I20181019000535

Medical Identifiers

Medical identifiers for Nikki Michele Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699906065NPI-NPPES
04739057MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife MW010172 (Pennsylvania)Secondary
367A00000XAdvanced Practice Midwife F001849 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nikki Michele Peterson allows following entities to bill medicare on her behalf.
Entity NameLane Women's Health Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265760235
PECOS PAC ID: 0143365668
Enrollment ID: O20100308000583

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nikki Michele Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nikki Michele Peterson, CNM
400 Foote Avenue,
Jamestown, NY 14701-6800

Ph: (716) 484-9194
Nikki Michele Peterson, CNM
400 Foote Avenue,
Jamestown, NY 14701-6800

Ph: (716) 484-9194

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Advanced Practice Midwife Nurses in Jamestown, NY

Dawn Maberry,
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 93 Southwestern Dr, Jamestown, NY 14701
Phone: 716-708-5213    
Mrs. Debra Lynn Arndt, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 400 Foote Ave, Jamestown, NY 14701
Phone: 716-484-9194    Fax: 716-484-0115
Katlyn Deanne Hodak, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 400 Foote Ave, Jamestown, NY 14701
Phone: 716-484-1914    
Korinda Messenger, CNM
Advanced Practice Midwife
Medicare: May Accept Medicare Assignments
Practice Location: 400 Foote Ave, Jamestown, NY 14701
Phone: 716-484-9194    Fax: 716-484-0115

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