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

Dr. Randy Wayne Peterson, APRN, CNP

Individual provider Registered Nurse · NPI 1730747221

Dr. Randy Wayne Peterson, APRN, CNP is a Nurse Practitioner in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2020, 6 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

800 E 28th St # W4300
Minneapolis, MN 55407-3723
Phone: (612) 863-3110
Fax: (612) 863-8927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6545 France Ave S Ste 586, Edina, MN 55435-2125 — (952) 915-8700
  • 716 South 7th Street, Minneapolis, MN 55415 — (612) 873-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7781 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R214182-8 (MN)

Record details

NPI number1730747221
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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