Kelli Petersen, NP-C
NPI 1164702742 · Adult Health Nurse Practitioner · Minneapolis, MN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelli Petersen, NP-C is a Adult Health Nurse Practitioner provider in Minneapolis, MN (NPI 1164702742).
Provider details
- NPI number
- 1164702742
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1676 (MN)
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
14 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
- 2011-08-26
- Last updated
- 2024-01-11
- Certified
- 2024-01-11
Frequently asked questions
- What is Kelli Petersen's NPI number?
- Kelli Petersen's National Provider Identifier (NPI) is 1164702742, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelli Petersen's specialty?
- Kelli Petersen is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelli Petersen located?
- Kelli Petersen's practice location on file with NPPES is 2925 Chicago Ave, Minneapolis, MN 55407-1321.
- What is Kelli Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kelli Petersen is (612) 262-7800.
- Does Kelli Petersen accept Medicare?
- Kelli Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelli Petersen's NPI active?
- Yes — Kelli Petersen's NPI (1164702742) is active in the NPPES registry as of the last update on 2024-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.