NPPES file of Aug 9, 2026

Jennifer Louise Petersen, NURSE PRACTITIONER

Family Nurse Practitioner · Fort Drum, NY

Jennifer Louise Petersen, NURSE PRACTITIONER is a family nurse practitioner with a practice address in Fort Drum, New York, and NPI 1629053343, issued on Dec 15, 2005. Check the license with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629053343
Name
Jennifer Louise Petersen
Credential
NURSE PRACTITIONER
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
44888 KS
Self-reported in NPPES; status is on the state search
Practice location
11050 Mount Belvedere Blvd, Fort Drum, NY 13602
Phone
(315) 772-4025
Enumerated
Dec 15, 2005
Record last updated
Jul 13, 2026
Fax
(315) 772-9498
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
Download card Updates feed

8 nearest family nurse practitioner records → All 14,805 in New York → Look up another NPI →

Also registered at 11050 Mount Belvedere Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Joshua Agard, PA-CPhysician Assistant1295343218
  2. Anne Ashley, LPC; LCDC; CSACAddiction (Substance Use Disorder) Counselor1861482713
  3. Matthew Bacca, LSWSocial Worker1538825922
  4. Todd Benham, PSYD, ABPPClinical Psychologist1558350777
  5. Sumon BhattacharyyaInternal Medicine Physician1972246387
  6. Randall Bischoff, RPA-CPhysician Assistant1760471932

Verify Jennifer Louise Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Industry payments in 2024: $118.84

1 payment: food and beverage; the largest payer was Abbott Laboratories. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jennifer Petersen$118.84
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Jennifer Louise Petersen among 14,805 family nurse practitioner records in New York

Jennifer Louise Petersen, NURSE PRACTITIONER is one of 14,805 family nurse practitioner records with a practice address in New York. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 98% newer
  • In a Medicare fileYes · 68% of these records are
  • In the CMS Doctors and Clinicians fileNo · 49% of these records are
  • Record last updated2026 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 family nurse practitioner records list a practice address in Fort Drum

They are 6 of the 471 NPPES records with a practice address in Fort Drum, and 14,805 family nurse practitioner records in New York.

All 14,805 in New York → Every provider in Fort Drum → Family Nurse Practitioner nationwide →

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Tatyana Armstead, FNPFort Drum, NY 136021538620133
  2. Sarah Hasko, MSN, FNP-CFort Drum, NY 136021386037216
  3. John Kerns, FNPFort Drum, NY 136021487998258
  4. Panita Pipatnawin, FNP-CFort Drum, NY 136021033604970
  5. Danielle Reeves, NPFort Drum, NY 136021902639560
  6. Renee Bull, NPWatertown, NY 136011205590940
  7. Maegan CastleWatertown, NY 136011619864535
  8. Joseph Donoghue, FNPWatertown, NY 136011558174714

Common questions

What is Jennifer Louise Petersen, NURSE PRACTITIONER's NPI number?

Jennifer Louise Petersen, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1629053343, issued on Dec 15, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Jennifer Louise Petersen, NURSE PRACTITIONER located?

The NPPES record lists a practice address at 11050 Mount Belvedere Blvd, Fort Drum, NY, 13602. Phone: (315) 772-4025. Providers update this record themselves, so call before visiting.

How can I verify Jennifer Louise Petersen, NURSE PRACTITIONER's license?

Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.