Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennie Michelle Peterson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1144732918

Jennie Michelle Peterson, PMHNP-BC is a Nurse Practitioner in Beaverton, Oregon. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2017
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

14743 NW Glacier Ln
Beaverton, OR 97006-5892
Phone: (503) 443-8339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201808713NP-PP (OR)

Record details

NPI number1144732918
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 1, 2017
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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