IndividualActive
Jason Petersen
NPI 1669041356 · Assisted Living Facility · Brooksville, FL
Jason Petersen is a Assisted Living Facility provider in Brooksville, FL (NPI 1669041356).
Provider details
- NPI number
- 1669041356
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11821 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
5483 Neff Lake Rd
Brooksville, FL 34601-7842
Phone: (720) 244-9712
Street-level locationGet directions
Mailing address
21107 Bircholm Ct
Land O Lakes, FL 34637-7464
Registry dates
- Enumerated
- 2021-06-18
- Last updated
- 2021-06-18
- Certified
- 2021-06-09
Frequently asked questions
- What is Jason Petersen's NPI number?
- Jason Petersen's National Provider Identifier (NPI) is 1669041356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Petersen's specialty?
- Jason Petersen is listed in the NPPES registry with a primary specialty of Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Jason Petersen located?
- Jason Petersen's practice location on file with NPPES is 5483 Neff Lake Rd, Brooksville, FL 34601-7842.
- What is Jason Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jason Petersen is (720) 244-9712.
- Is Jason Petersen's NPI active?
- Yes — Jason Petersen's NPI (1669041356) is active in the NPPES registry as of the last update on 2021-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.