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Emily M. Peterson, CNP

Nurse Practitioner in Rochester, MN. Individual provider (NPI-1).

NPI number1295092013
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1295092013
Entity type
Individual (NPI-1)
Name
Emily M. Peterson
Credential
CNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2012
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner291MNYes
363LA2200X Nurse Practitioner, Adult Healthr1915754MN

Practice location

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Mailing address

200 1st St Sw
Rochester, MN 55905-0001

Phone 507-284-2511

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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