Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jean Marie Peterson, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1043763386

Jean Marie Peterson, AGNP-C is a Nurse Practitioner in Stony Brook, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2016, 10 years ago. Practices with Stony Brook Urology University Faculty Practice Corporation, a 37-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2016
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Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook Medicine Hsc Dept OF Urology Rm 040 Level 9
Stony Brook, NY 11794-8093
Phone: (631) 444-6270
Fax: (631) 444-6204
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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 307876 (NY)

Record details

NPI number1043763386
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedAugust 3, 2016
Last updated in NPPESApril 6, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Stony Brook Urology University Faculty Practice Corporation — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stony Brook