Ms Penny Petersen, - Medicare Nurse Practitioner in Mitchell, SD

Ms Penny Petersen, is a medicare enrolled "Nurse Practitioner" in Mitchell, South Dakota. Her current practice location is 525 N Foster St, Mitchell, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 995-2000.

Ms Penny Petersen is licensed to practice in South Dakota (license number 000437) 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 1114907979.

Contact Information

Ms Penny Petersen,
525 N Foster St,
Mitchell, SD 57301-2966
(605) 995-2000
Not Available

Map and Direction




Provider's Profile

Full NameMs Penny Petersen
GenderFemale
SpecialityNurse Practitioner
Location525 N Foster St, Mitchell, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114907979
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 02/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6800076969
  • Enrollment ID: I20110207000205

Medical Identifiers

Medical identifiers for Ms Penny Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114907979NPI-NPPES
6831840MedicaidSD
S1639OtherSDMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 000437 (South 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. Ms Penny Petersen allows following entities to bill medicare on her behalf.
Entity NameAvera Queen Of Peace
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205359031
PECOS PAC ID: 9335050806
Enrollment ID: O20031229000301

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. Ms Penny 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 AddressPractice Location Address
Ms Penny Petersen,
525 N Foster St,
Mitchell, SD 57301-2966

Ph: (605) 995-2000
Ms Penny Petersen,
525 N Foster St,
Mitchell, SD 57301-2966

Ph: (605) 995-2000

Reviews and Comments


Nurse Practitioner Nurses in Mitchell, SD

Theresa Miiller, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Grassland Dr, Mitchell, SD 57301
Phone: 605-995-7000    
Heidi M Gehrke,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 525 N Foster St, Mitchell, SD 57301
Phone: 605-995-2000    
Kelly Jo Mcdermott,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 525 N Foster St, Mitchell, SD 57301
Phone: 605-995-5701    Fax: 605-995-5700
Kristin J Bietz, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 W 6th Ave, Mitchell, SD 57301
Phone: 605-292-6262    
Angela Mae Broughton,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1900 Grassland Dr, Mitchell, SD 57301
Phone: 605-995-7000    
Kim Denise Kee, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E 6th Ave, Mitchell, SD 57301
Phone: 605-996-3380    Fax: 605-996-3385

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.