What is Kent Petersen's NPI number?

Kent Petersen's National Provider Identifier (NPI) is 1053559401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kent Petersen's specialty?

Kent Petersen is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Kent Petersen located?

Kent Petersen's practice location on file with NPPES is 1604 Visa Dr Ste 1, Normal, IL 61761-2195.

What is Kent Petersen's phone number?

The practice phone number listed in the NPPES registry for Kent Petersen is (309) 846-4716.

Is Kent Petersen's NPI active?

Yes — Kent Petersen's NPI (1053559401) is active in the NPPES registry as of the last update on 2009-01-22.

IndividualActive

Kent Petersen, RN

NPI 1053559401 · Registered Nurse · Normal, IL

Kent Petersen, RN is a Registered Nurse provider in Normal, IL (NPI 1053559401).

Provider details

NPI number: 1053559401
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: No
License: 041300994 (IL)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 041300994 (IL)
Nursing Service Providers

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1604 Visa Dr Ste 1

Normal, IL 61761-2195

Phone: (309) 846-4716

Fax: (409) 454-1107

Street-level locationGet directions

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Mailing address