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

Ericka Leslie Petersen, CNP

Individual provider Family Nurse Practitioner · NPI 1073063905

Ericka Leslie Petersen, CNP is a Nurse Practitioner in Pierre, South Dakota. Qualified in 2016, 10 years ago. Practices with Avera St Marys, a 95-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
10
Licensed in
SD
In the registry since
2016
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

100 Mac Ln
Pierre, SD 57501-3391
Phone: (605) 224-5901
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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 CP001145 (SD)

Record details

NPI number1073063905
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESOctober 23, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Avera St Marys — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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