Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Marie Petersen, FNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1174245021

Anna Marie Petersen, FNP-BC is a Nurse Practitioner in South Lake Tahoe, California. Qualified in 2022, 4 years ago. Practices with Barton Medical Foundation, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

2201 S Ave
South Lake Tahoe, CA 96150-7025
Phone: (530) 543-5623
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10956 Donner Pass Rd Fl 2, Truckee, CA 96161-4861 — (530) 582-6205

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95022656 (CA)

Record details

NPI number1174245021
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 16, 2022
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Barton Medical Foundation — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount