Kyrie Peterson
NPI 1336871318 · Nurse Practitioner · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyrie Peterson is a Nurse Practitioner provider in Fort Wayne, IN (NPI 1336871318).
Provider details
- NPI number
- 1336871318
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 71012788A (IN)
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 tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
273 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 109 | $100 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 77 | $13 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 70 | $71 |
| Administration of Influenza Virus VaccineG0008 | 17 | $28 |
Typical Medicare-allowed amounts for these services range $13–$100 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 58 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 112 | 41 |
| Amlodipine Besylate | 79 | 29 |
| Levothyroxine Sodium | 75 | 27 |
| Omeprazole | 66 | 25 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 64 | 26 |
| Lisinopril | 61 | 28 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2022-10-17
- Certified
- 2022-10-17
Frequently asked questions
- What is Kyrie Peterson's NPI number?
- Kyrie Peterson's National Provider Identifier (NPI) is 1336871318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyrie Peterson's specialty?
- Kyrie Peterson is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kyrie Peterson located?
- Kyrie Peterson's practice location on file with NPPES is 5693 Ymca Park Dr W, Fort Wayne, IN 46835-3280.
- What is Kyrie Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kyrie Peterson is (260) 469-6603.
- Does Kyrie Peterson accept Medicare?
- Kyrie Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyrie Peterson's NPI active?
- Yes — Kyrie Peterson's NPI (1336871318) is active in the NPPES registry as of the last update on 2022-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.