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

Individual provider Acute Care Nurse Practitioner · NPI 1386900728

Sam Richard Petersen, CRNP is a Nurse Practitioner in Huntsville, Alabama. Qualified in 2011, 15 years ago. Practices with Cullman Regional Medical Group Hospitalists LLC, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
15
Licensed in
AL
In the registry since
2012
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

201 Sivley Rd SW Ste 500
Huntsville, AL 35801-5177
Phone: (256) 265-3881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1912 Al Highway 157, Cullman, AL 35058-0609 — (256) 737-2000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-109909 (AL)

Record details

NPI number1386900728
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 10, 2012
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Cullman Regional Medical Group Hospitalists Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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