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Active NPI 1003621137 Individual Practitioner Female Practitioner

Mandy Jo Peterson

Registered Nurse • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Mandy Peterson is a registered healthcare professional specializing in Registered Nurse in Saint Cloud, MN. Practice services are available at 15 RIVERSIDE DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Riverside Dr Ne

Saint Cloud, MN 563040435

Telephone 3203090679

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
368 Specialists

Practicing in Saint Cloud, MN (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-07
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License MN 1608485

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Laurie Bisila , RN

Registered Nurse

NPI 1033934344

Registered Nurse

Christina Ven

Registered Nurse

NPI 1457210288

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 07, 2025

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2025

Registered at 15 RIVERSIDE DR NE, SAINT CLOUD, MN 563040435 (Tel: 3203090679)

📍
Updated Business Mailing Address February 07, 2025

Registered at 1936 LINDA LN, SAINT CLOUD, MN 563014968 (Tel: 3203090679)

👤
Provider Name / Credentials Updated February 07, 2025

Recorded as MANDY PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2025

Registered Nurse (License #1608485 in MN)

🟢
Initial NPI Registration & Enumeration February 07, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003621137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2025
Last Update: February 07, 2025
Sole Proprietor: Yes

Mailing Address

1936 Linda Ln

Saint Cloud, MN 563014968

Phone: 3203090679

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.