Deric Wymer Peterson, AU.D.
NPI 1659698959ActiveIndividual· Audiologist· Marshall, MN
Audiologist (AU.D.) in Marshall, Minnesota, licensed in MN, with an NPI issued in April 2010. Enrolled in Medicare as practitioner - qualified audiologist.
Overview
| NPI | 1659698959 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AU.D. |
| Sole proprietor | No |
| NPI issued | Apr 26, 2010 |
| Last updated in NPPES | Dec 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 8599 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (MN) |
|---|
Other Audiologist providers in Marshall
- 1073768396
- 1225466501
- 1972771541
- 1093443038
- 1679144851
- 1124259346