IndividualActive
Shelley Petersen
NPI 1770848152 · Specialist · Wampsville, NY
Shelley Petersen is a Specialist provider in Wampsville, NY (NPI 1770848152).
Provider details
- NPI number
- 1770848152
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% 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
138 North Court Street
Wampsville, NY 13163-0605
Phone: (315) 366-2363
Street-level locationGet directions
Mailing address
1640 Middle Rd
Oneida, NY 13421-4182
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2012-07-11
Frequently asked questions
- What is Shelley Petersen's NPI number?
- Shelley Petersen's National Provider Identifier (NPI) is 1770848152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelley Petersen's specialty?
- Shelley Petersen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Shelley Petersen located?
- Shelley Petersen's practice location on file with NPPES is 138 North Court Street, Wampsville, NY 13163-0605.
- What is Shelley Petersen's phone number?
- The practice phone number listed in the NPPES registry for Shelley Petersen is (315) 366-2363.
- Is Shelley Petersen's NPI active?
- Yes — Shelley Petersen's NPI (1770848152) is active in the NPPES registry as of the last update on 2012-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.