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

Emily Jane Peterson, FNP

Individual provider Registered Nurse · NPI 1417821414

Emily Jane Peterson, FNP is a Nurse Practitioner in Maple Grove, Minnesota. Qualified in 2025, 1 year ago. Practices with North Clinic PA, a 49-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone: (763) 587-7999
Fax: (763) 494-7501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13416 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2484239 (MN)

Record details

NPI number1417821414
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 2, 2025
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice North Clinic Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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