Kimberly M Petersen (NPI# 1043247877, PAC ID# 2163619891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043247877 |
| PAC ID by PECOS | 2163619891 |
| Professional Enrollment ID | I20101207001376 |
| Full Name | Kimberly M Petersen |
| Organization Legal Name | HENNEPIN HEALTHCARE SYSTEM INC |
| Address |
2810 Nicollet Ave Minneapolis MN 55408-4708 |
| Phone Number | 6128736963 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4789684861 |
| Number of Group Practice Members | 769 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 2810 Nicollet Ave, Minneapolis, MN 55408-4708 | 6128736963 | HENNEPIN HEALTHCARE SYSTEM INC |
| 701 Park Ave, Minneapolis, MN 55415-1623 | 6128733000 | HENNEPIN HEALTHCARE SYSTEM INC |
| Organization Legal Name | HENNEPIN HEALTHCARE SYSTEM INC |
| Physicians | 791 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah M Drawz | Pathology | Hennepin Healthcare System Inc | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 |
| Carla M Schultz | Internal Medicine | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Louis P Kohl | Interventional Cardiology | Hennepin Healthcare System Inc | 1425 10th Ave S, Minneapolis, MN 55404-1309 |
| Valerie R Post | Nurse Practitioner | Hennepin Healthcare System Inc | 2700 E Lake St, Suite 1100, Minneapolis, MN 55406-1963 |
| Samantha L Pace | Obstetrics/gynecology | Hennepin Healthcare System Inc | 800 Washington Ave N, Suite 190, Minneapolis, MN 55401-1330 |
| Margaret A Rudolph | Nurse Practitioner | Hennepin Healthcare System Inc | 5653 Duluth St, Golden Valley, MN 55422-4054 |
| Krisiti E White | Psychologist, Clinical | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Kathleen S Holets | Nurse Practitioner | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Barbara A Johnson | Psychiatry | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Jeffrey H Wang | Nephrology | Hennepin Healthcare System Inc | 701 Park Ave, Minneapolis, MN 55415-1623 |
| Street Address |
2810 NICOLLET AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55408-4708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Oeltjenbruns | Podiatry | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Andrea S Goldbaum | Nurse Practitioner | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Sangeetha Larsen | Physician Assistant | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| David L Councilman | Family Medicine | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Rehan M Karim | Cardiac Electrophysiology | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Johanna C Stirling | Nurse Practitioner | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Susan C Hasti | Family Medicine | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Nicole Mary Ann Kilgo | Chiropractic | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Ayham Moty | Family Medicine | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Laura M Nezworski | Obstetrics/gynecology | Hennepin Healthcare System Inc | 2810 Nicollet Ave, Minneapolis, MN 55408-4708 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim E Fishman | Qualified Audiologist | 2639 Nicollet Ave, Minneapolis, MN 55408-1629 | |
| Patrick R. Townley | Internal Medicine | 2639 Nicollet Ave, Minneapolis, MN 55408-1629 | |
| Wendy Jean Miller | Internal Medicine | Allina Health System | 2800 Hennepin Ave, Minneapolis, MN 55408-1906 |
| Veeti Tandon | Internal Medicine | Allina Health System | 2800 Hennepin Ave, Minneapolis, MN 55408-1906 |
| Andrew Hachiya | Psychologist, Clinical | 2904 Humboldt S Ave, Minneapolis, MN 55408-1953 | |
| Kathlyn E Nelson | Psychologist, Clinical | 2908 Humboldt Ave S, Minneapolis, MN 55408-1953 | |
| Anna L Fox | Psychologist, Clinical | 2908 Humboldt Ave S, Minneapolis, MN 55408-1953 | |
| Anne R Gearity | Clinical Social Worker | 2904 Humboldt S Ave, Minneapolis, MN 55408-1953 | |
| Nancy A Lawroski | Psychologist, Clinical | 2904 Humboldt S Ave, Minneapolis, MN 55408-1953 | |
| Kristen A Ryan | Psychologist, Clinical | 2908 Humboldt Ave S, Minneapolis, MN 55408-1953 | |
| Find all physicians in zip 55408 | |||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MINNEAPOLIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kimberly M Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.