Penny Petersen
NPI 1114907979 · Nurse Practitioner · Mitchell, SD
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penny Petersen is a Nurse Practitioner provider in Mitchell, SD (NPI 1114907979).
Provider details
- NPI number
- 1114907979
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 000437 (SD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-01-18
- Last updated
- 2010-02-26
Frequently asked questions
- What is Penny Petersen's NPI number?
- Penny Petersen's National Provider Identifier (NPI) is 1114907979, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Penny Petersen's specialty?
- Penny Petersen is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Penny Petersen located?
- Penny Petersen's practice location on file with NPPES is 525 N Foster St, Mitchell, SD 57301-2966.
- What is Penny Petersen's phone number?
- The practice phone number listed in the NPPES registry for Penny Petersen is (605) 995-2000.
- Does Penny Petersen accept Medicare?
- Penny Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Penny Petersen's NPI active?
- Yes — Penny Petersen's NPI (1114907979) is active in the NPPES registry as of the last update on 2010-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.