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

Glen Peterson, NP

Individual provider Nurse Practitioner · NPI 1508956186

Glen Peterson, NP is a Nurse Practitioner in Aurora, Colorado. Qualified in 2005, 21 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
21
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12605 E 16th Ave
Aurora, CO 80045-2545
Phone: (720) 848-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN.0004860-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence NP4860 (CO)

Record details

NPI number1508956186
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESOctober 17, 2018
Mailing addressPo Box 110429, Aurora, CO 80042-0429

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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