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

Individual provider Family Nurse Practitioner · NPI 1306568654

Stacey Rae Petersen, NURSEPRACTITIONER is a Nurse Practitioner in Des Moines, Iowa. Qualified in 2022, 4 years ago. Practices with Floyd Valley Healthcare, a 35-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
4
Licensed in
IA
In the registry since
2022
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Practice location Address checks out

899 E 12th St Apt 9453
Des Moines, IA 50304-5030
Phone: (712) 541-1949
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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 A171201 (IA)

Record details

NPI number1306568654
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESDecember 8, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Floyd Valley Healthcare — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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