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

Mariah Peterson, CNP

Individual provider Registered Nurse · NPI 1245019694

Mariah Peterson, CNP is a Nurse Practitioner in Flandreau, South Dakota. Qualified in 2023, 3 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
3
Licensed in
SD
In the registry since
2023
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

212 N Prairie St
Flandreau, SD 57028-1243
Phone: (605) 997-2433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP002971 (SD)
Registered Nurse Taxonomy 163W00000X · Licence R051425 (SD)

Record details

NPI number1245019694
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESNovember 7, 2024
Certification dateSeptember 25, 2023
Mailing address212 N Prarie St, Flandreau, SD 57028

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Flandreau