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

Scott Kermit Peterson, RN

Individual provider Registered Nurse · NPI 1801436787

Scott Kermit Peterson, RN is a Registered Nurse in Pequot Lakes, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

30681 Olson St Apt 2
Pequot Lakes, MN 56472-3081
Phone: (218) 838-5363
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2377139 (MN)

Record details

NPI number1801436787
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 8, 2020
Last updated in NPPESJanuary 8, 2020
Certification dateJanuary 8, 2020
Mailing address30681 Olson St Apt 2, Pequot Lakes, MN 56472-3081