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KELLEY J PETERS NP NPI 1639573694


NPI Information

NPI: 1639573694
Provider Name: KELLEY J PETERS, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
107 BUFFALO STREET
ANTWERP, OH
ZIP 45813
Phone: (419) 258-5641
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Kelley J Peters, NP is a family nurse practitioner in Antwerp, OH with 10 years of experience. Kelley J Peters, NP NPI is 1639573694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

107 BUFFALO STREET
ANTWERP, OH
ZIP 45813-047
Phone: (419) 258-5641
Fax: (419) 258-2711

The NPI 1639573694 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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 10/20/2014 and was last updated on 11/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse28145162AINDIANANo
2363L00000XNurse Practitioner71005210AINDIANANo
3363L00000XNurse PractitionerCOA16762OHIONo
4363LF0000XNurse PractitionerFamily25358TENNESSEEYes

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: 4/28/2024

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