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

Katie Rebecca Peterson, NP

Individual provider Family Nurse Practitioner · NPI 1720818677

Katie Rebecca Peterson, NP is a Nurse Practitioner in Fergus Falls, Minnesota. Qualified in 2024, 2 years ago. Practices with Prairie Ridge Hospital and Health Services, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
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

111 W Vernon Ave
Fergus Falls, MN 56537-2741
Phone: (218) 736-8000
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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 11934 (MN)

Record details

NPI number1720818677
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 6, 2024
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prairie Ridge Hospital And Health Services — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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