Kristy L Petersen, ARNP in Venice, FL - Medicare Nurse Practitioner

Kristy L Petersen, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Venice, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Alive Hospice, Inc and her current practice location is 540 The Rialto, Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 486-6927.

Kristy L Petersen is licensed to practice in Florida (license number ARNP9335906) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003313115.

Contact Information

	Kristy L Petersen, ARNP
	540 The Rialto, Venice, FL 34285-2900
	(941) 486-6927
	(941) 486-6931

Map and Direction

Provider's Profile

Full Name	Kristy L Petersen
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	540 The Rialto, Venice, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristy L Petersen graduated from nursing school in 2017

NPI Data:

NPI Number: 1003313115
Provider Enumeration Date: 04/06/2018
Last Update Date: 04/06/2018

Medicare PECOS Information:

PECOS PAC ID: 6406111079
Enrollment ID: I20210222001324

Medical Identifiers

Medical identifiers for Kristy L Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003313115	NPI	-	NPPES
ARNP9335906	Other	FL	ARNP LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	ARNP9335906 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tristar Summit Medical Center	Hermitage, TN	Hospital
Tristar Centennial Medical Center	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alive Hospice, Inc	0244276608	28

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. Kristy L Petersen allows following entities to bill medicare on her behalf.

Entity Name	Alive Hospice, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184682858 PECOS PAC ID: 0244276608 Enrollment ID: O20050707000451

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. Kristy L Petersen 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 Address	Practice Location Address
Kristy L Petersen, ARNP Po Box 850001, Orlando, FL 32885-0001 Ph: (941) 486-6927	Kristy L Petersen, ARNP 540 The Rialto, Venice, FL 34285-2900 Ph: (941) 486-6927

Reviews and Comments

Nurse Practitioner Nurses in Venice, FL

Felicia Carnevale, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524 Fax: 941-244-9526
Destinee Renee Ogea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8431 Pointe Loop Dr Fl 1, Venice, FL 34293 Phone: 941-207-5350 Fax: 941-207-5352
Judy Humphreys, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1287 Us Highway 41byp S, Venice, FL 34237 Phone: 941-244-5706 Fax: 941-800-4342
Ms. Kathryn S Collins, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 Jacaranda Blvd, Venice, FL 34292 Phone: 844-366-9362
Agata Wawro, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 Riviera St Ste D, Venice, FL 34285 Phone: 941-244-9524
Cynthia Beth Gamble, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Nokomis Ave S Ste 207, Venice, FL 34285 Phone: 941-486-6790 Fax: 941-486-6795

Kristy L Petersen, ARNP - Medicare Nurse Practitioner in Venice, FL