Katie Marie Peterson, AGNP
NPI 1508265331ActiveIndividual· Nurse Practitioner· Saint Louis Park, MN
Nurse Practitioner (AGNP) in Saint Louis Park, Minnesota, trained at Yale University School of Medicine (class of 2014). Mostly services rather than prescriptions: Medicare paid $6,969 for 54 patients in 2024, with only 36 Part D claims.
Overview
| NPI | 1508265331 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP |
| Sole proprietor | Yes |
| NPI issued | Aug 18, 2014 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3298 | MN |
| Nurse Practitioner, Gerontology | 363LG0600X | AG0614152 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 104 across 10 procedure codes |
| Paid by Medicare | $6,969 |
Part D prescriptions in 2024
| Prescriptions (claims) | 36 · 40 30-day fills |
|---|---|
| Total drug cost | $656.03 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Yale University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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