Misty Petersen, FNP-C
NPI 1891656328 · Family Nurse Practitioner · Kingman, AZ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Misty Petersen, FNP-C is a Family Nurse Practitioner provider in Kingman, AZ (NPI 1891656328).
Provider details
- NPI number
- 1891656328
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 332191 (AZ)
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2169 Swanson Ave Ste 1Lake Havasu City, AZ 86403-6878Phone: (928) 575-2090Fax: (480) 885-3157
Registry dates
- Enumerated
- 2025-11-24
- Last updated
- 2026-01-25
- Certified
- 2026-01-25
Frequently asked questions
- What is Misty Petersen's NPI number?
- Misty Petersen's National Provider Identifier (NPI) is 1891656328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misty Petersen's specialty?
- Misty Petersen is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Misty Petersen located?
- Misty Petersen's practice location on file with NPPES is 3555 Western Ave, Kingman, AZ 86409-3291.
- What is Misty Petersen's phone number?
- The practice phone number listed in the NPPES registry for Misty Petersen is (928) 757-8440.
- Does Misty Petersen accept Medicare?
- Misty Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Misty Petersen's NPI active?
- Yes — Misty Petersen's NPI (1891656328) is active in the NPPES registry as of the last update on 2026-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.