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

Stacey D Peterson

Individual provider Family Nurse Practitioner · NPI 1073207569

Stacey D Peterson is a Nurse Practitioner in Minot, North Dakota. Qualified in 2023, 3 years ago. Practices with Trinity Health, a 294-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

400 Burdick Expy E
Minot, ND 58701-4768
Phone: (701) 418-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1500 24th Ave Sw, Minot, ND 58701-6905 — (701) 857-5343
  • 2305 37th Ave Sw, Minot, ND 58701-7669 — (701) 418-8000

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence R32510 (ND)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R32510 (ND)

Record details

NPI number1073207569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing addressPo Box 5010, Minot, ND 58702-5010

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 Trinity Health — 294 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Minot