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JEAN MARIE PETERSON AGNP-C NPI 1043763386


NPI Information

NPI: 1043763386
Provider Name: JEAN MARIE PETERSON, AGNP-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
STONY BROOK MEDICINE
HSC DEPT OF UROLOGY ROOM 040 LEVEL 9
STONY BROOK, NY
ZIP 11794
Phone: (631) 444-6270
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Jean Marie Peterson, AGNP-C is an adult health nurse practitioner in Stony Brook, NY with 8 years of experience. Jean Marie Peterson, AGNP-C NPI is 1043763386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

STONY BROOK MEDICINE
HSC DEPT OF UROLOGY ROOM 040 LEVEL 9
STONY BROOK, NY
ZIP 11794-093
Phone: (631) 444-6270
Fax: (631) 444-6204

The NPI 1043763386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)

The enumeration date for this NPI number is 8/3/2016 and was last updated on 4/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health307876NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.