Michelle E Petersen

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NPI Number Detailed Information

Provider Information:

Name:	Michelle E Petersen
Gender:	F
Provider License Number If Given:	143970

NPI Information:

NPI:	1811972458
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	12/7/2005
Last Update Date:	12/2/2010

Provider Business Mailing Address:

Address:	1600 E EVERGREEN ST PO BOX 557 Cameron, MO 64429
Phone Number:	8166322101
Fax Number:	8166493383

Provider Business Practice Location Address:

Address:	1608 E EVERGREEN ST SUITE A Cameron, MO 64429
Phone Number:	8166325424
Fax Number:	8166327094

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	MO

Top Doctors in MO

About Michelle E Petersen

Michelle E Petersen ( MICHELLE E PETERSEN ) is Definition Nurse Practitioner Physician in Cameron, MO. The NPI Number for Michelle E Petersen is 1811972458.

The current location address for Michelle E Petersen is 1608 E EVERGREEN ST SUITE A Cameron, MO 64429 and the contact number is 8166322101 and fax number is 8166493383. The mailing address for Michelle E Petersen is 1600 E EVERGREEN ST PO BOX 557 Cameron, MO 64429- 8166325424 (mailing address contact number - 8166322101).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Michelle E Petersen ?

Answer: The NPI Number for Michelle E Petersen is 1811972458

Where is Michelle E Petersen located?

Answer: Michelle E Petersen is located at 1608 E EVERGREEN ST SUITE A Cameron, MO 64429.

What is the specialty for Michelle E Petersen ?

Answer: The Specialty of Michelle E Petersen is Definition Nurse Practitioner Physician.

Are there any online reviews for Michelle E Petersen ?

Answer: Not yet!

Are there any other health care providers in Cameron, MO?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Michelle E Petersen

Number of HCPCS	9
Number of Medicare Beneficiaries	120
Number of Services	385
Total Submitted Charge Amount	33387
Total Medicare Allowed Amount	27184.51
Total Medicare Payment Amount	18749.63
Total Medicare Standardized Payment Amount	19719.25
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	9
Number of Medicare Beneficiaries With Medical	120
Number of Medical Services	385
Total Medical Submitted Charge Amount	33387
Total Medical Medicare Allowed Amount	27184.51
Total Medical Medicare Payment Amount	18749.63
Total Medical Medicare Standardized Payment Amount	19719.25
Average Age of Beneficiaries	72
Number of Beneficiaries Age Less 65	19
Number of Beneficiaries Age 65 to 74	46
Number of Beneficiaries Age 75 to 84	42
Number of Beneficiaries Age Greater 84	13
Number of Female Beneficiaries	78
Number of Male Beneficiaries	42
Number of Non-Hispanic White Beneficiaries	120
Number of Black or African American Beneficiaries	0
Number of Asian Pacific Islander Beneficiaries	0
Number of Hispanic Beneficiaries	0
Number of American Indian/Alaska Native Beneficiaries	0
Number of Beneficiaries With Race Not Elsewhere Classified	0
Number of Beneficiaries With Medicare & Medicaid Entitlement	21
Number of Beneficiaries With Medicare Only Entitlement	99
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.16
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.21
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.2
Percent (%) of Beneficiaries Identified With Depression	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.38
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.53
Percent (%) of Beneficiaries Identified With Hypertension	0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.31
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.43
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0534

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	4278
Number of Standardized 30-Day Fills	6865.6333333
Aggregate Cost Paid for All Claims	225749.47
Number of Day's Supply for All Claims	198012
Number of Medicare Beneficiaries	195
Number of Claims, Including Refills, for Beneficiaries Age 65+	3638
Including Refills, for Beneficiaries Age 65+	5893.6666667
Beneficiaries Age 65+	184802.82
Number of Day's Supply for All Claims for Beneficaries Age 65+	170932
Number of Medicare Beneficiaries Age 65+	160
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	603
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	3644
Aggregate Cost Paid for Generic Drugs	52995.15
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills	31
Aggregate Cost Paid for Other Drugs	774.88
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	1661
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	119612.63
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2617
Aggregate Cost Paid for Claims Filled by	106136.84
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1849
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	109412.04
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	2429
by Low-Income Subsidy	116337.43
Total Claims of Opioid Drugs, Including	65
Aggregate Cost Paid for Opioid Drugs	282.36
Opioid Claims	15
Opioid_Tot_Clms divided by the Tot_Clms	1.5194015895
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	144
Aggregate Cost Paid for Antibiotic Drugs	1622.52
Antibiotic Claims	79
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	24
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	172.59
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	70.671794872
Number of Beneficiaries Age Less Than 65	35
Number of Beneficiaries Age 65 to 74	87
Number of Beneficiaries Age 75 to 84	55
Number of Female Beneficiaries	127
Number of Male Beneficiaries	68
Number of Non-Hispanic White	192
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	138
Average Hierarchical Condition Category	1.1362599114

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