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NPI · 1205548443 · NPPES-sourced

Mrs. Michelle Jackson Petersen NP

ActiveFamily Nurse Practitioner
NPI Number
1205548443
Type 1 · Individual
Taxonomy Code
363LF0000X
Contact
(667) 326-9198
License NY · F348339-01
Last Updated
Enumerated
Primary practice addressNY · 11102-3238
2322 30th Rd Ste 1aAstoria, NY 11102-3238
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About this NPIWhat this record shows.

NPI 1205548443 is registered to Mrs. Michelle Jackson Petersen NP, a Family Nurse Practitioner practising at 2322 30th Rd Ste 1a in Astoria, New York. Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mrs. Michelle Jackson Petersen NP has been enumerated in the National Provider Identifier (NPI) registry since 2022.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mrs. Michelle Jackson Petersen NP accepts. To confirm in-network status with your specific health plan, contact Mrs. Michelle Jackson Petersen NP directly at (667) 326-9198.

Frequently asked

Yes. NPI 1205548443 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (667) 326-9198.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mrs. Michelle Jackson Petersen NP is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LF0000X
Last updated
Enumerated
StatusActive
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