Stacey D Peterson, - Medicare Nurse Practitioner in Minot, ND

Stacey D Peterson, is a medicare enrolled "Nurse Practitioner - Family" in Minot, North Dakota. Her current practice location is 1500 24th Ave Sw, Minot, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 857-5343.

Stacey D Peterson is licensed to practice in North Dakota (license number R32510) 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 1073207569.

Contact Information

Stacey D Peterson,
1500 24th Ave Sw,
Minot, ND 58701-6905
(701) 857-5343
Not Available



Provider's Profile

Full NameStacey D Peterson
GenderFemale
SpecialityNurse Practitioner - Family
Location1500 24th Ave Sw, Minot, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073207569
  • Provider Enumeration Date: 06/07/2023
  • Last Update Date: 12/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294196754
  • Enrollment ID: I20230731002660

Medical Identifiers

Medical identifiers for Stacey D Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073207569NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R32510 (North Dakota)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. Stacey D Peterson allows following entities to bill medicare on her behalf.
Entity NameTrinity Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083653752
PECOS PAC ID: 7911816020
Enrollment ID: O20031106000316

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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. Stacey D 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
Stacey D Peterson,
Po Box 5010,
Minot, ND 58702-5010

Ph: (701) 418-8000
Stacey D Peterson,
1500 24th Ave Sw,
Minot, ND 58701-6905

Ph: (701) 857-5343

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Nurse Practitioner Nurses in Minot, ND

Mrs. Pamela Lacey Leuschen, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2050 36th Ave Sw Ste 201, Minot, ND 58701
Phone: 701-852-8502    
Trisha J Fennern, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1021 20th Ave Sw Ste 113, Minot, ND 58701
Phone: 701-837-1551    Fax: 701-837-1540
Katelyn Jeanne Richter, APRN-FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2111 Landmark Cir Nw, Minot, ND 58703
Phone: 701-858-1800    
Hailey R Schiele, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 S Broadway Ste B, Minot, ND 58701
Phone: 701-852-9364    
Chantel K Hillestad, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Burdick Expy E, Minot, ND 58701
Phone: 701-857-7382    Fax: 701-857-7071
Cathleen Hoffman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Burdick Expy E, Minot, ND 58701
Phone: 701-857-5000    
Stacy Nicole Flaten, FNP- BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 407 3rd St Se, Minot, ND 58701
Phone: 701-857-2360    Fax: 701-857-2187

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