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Active NPI 1386794022 Individual Practitioner Female Practitioner

Deborah Sue Peshka , NP

Nurse Practitioner • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Deborah Peshka, NP is a registered healthcare professional specializing in Nurse Practitioner in Grand Rapids, MI. Practice services are available at 2902 BRADFORD ST NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, evaluation of implantable heart and blood vessel monitoring system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2902 Bradford St Ne

Grand Rapids, MI 495256427

Telephone 6168855200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
278 Specialists

Practicing in Grand Rapids, MI (3626 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
41 30 $212.56 $98.65

Medical Specialties & State Licenses

CMS Verified: 2021-10-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704118417

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MI 4704118417

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Dr. Sangjin Lee , MD, MSC

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1013050764

Doctor of Medicine (M.D.), Master of Science

Daniel Wilson , NP

Nurse Practitioner - Family

NPI 1073283164

Nurse Practitioner

NPI 1114098084

Doctor of Pharmacy (Pharm.D.)

Dr. Milena Jani , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1447411004

Doctor of Medicine (M.D.)

Dr. David Fermin , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1447442215

Doctor of Medicine (M.D.)

Laura Braunohler , RN, MSN, ANP

Nurse Practitioner - Adult Health

NPI 1598914228

Registered Nurse, Master of Science in Nursing, Adult Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Nurse Practitioner (License #4704118417 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Nurse Practitioner (License #4704118417 in MI)

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 2902 BRADFORD ST NE, GRAND RAPIDS, MI 495256427 (Tel: 6164866577)

📍
Updated Business Mailing Address September 07, 2017

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as DEBORAH PESHKA, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Nurse Practitioner (License #4704118417 in MI)

NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2014

Registered at 330 BARCLAY AVE NE, SUITE 200, GRAND RAPIDS, MI 495032556 (Tel: 6163912802)

📍
Updated Business Mailing Address December 30, 2014

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated December 30, 2014

Recorded as DEBORAH PESHKA, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Nurse Practitioner (License #4704118417 in MI)

🟢
Initial NPI Registration & Enumeration January 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386794022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2007
Last Update: October 01, 2021
Sole Proprietor: No

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.