Individual provider

Breanna Peterson, D.O.

Emergency Medicine Physician Family Medicine Physician Medicare enrolled

Breanna Peterson, D.O. is an Emergency Medicine Physician in Princeton, MN, registered under NPI 1013399112. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 911 NORTHLAND DR, Princeton, MN 55371. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

911 NORTHLAND DR, Princeton, MN 55371 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
66330 MN Emergency Medicine Physician primary
66330 MN Family Medicine Physician
2015018606 MO Family Medicine Physician

Licences are recorded in 2 states: MN, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Emergency Medicine
PAC ID
7911204508

Medicare enrolment is recorded as approved under the provider type Practitioner - Emergency Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Minnesota and Missouri. The practice address on file is in Princeton, MN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MN Minnesota practice address
Licence
66330
Specialty
Emergency Medicine Physician
Verify with the MN board →
MO Missouri
Licence
2015018606
Specialty
Family Medicine Physician
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Emergency Medicine covers

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
Allopathic & Osteopathic Physicians Emergency Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207P00000X Emergency Medicine Physician 66330 MN primary
207Q00000X Family Medicine Physician 66330 MN
207Q00000X Family Medicine Physician 2015018606 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013399112 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 24, 2015
Last updatedSep 12, 2019
StatusActive
Sole proprietorNo
CredentialD.O.
Practice address 911 NORTHLAND DR
Princeton, MN 55371
(763) 389-1313
Mailing address 400 STINSON BLVD
Minneapolis, MN 55413
The last update on file is Sep 12, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1013399112 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 3 9 9 1 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 6 9 9 1 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013399112?
NPI 1013399112 is the National Provider Identifier assigned to Breanna Peterson, D.O. in Princeton, MN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medicine Physician cover?
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care…
How do I contact Breanna Peterson, D.O.?
The phone number on file with NPPES is (763) 389-1313, last updated Sep 12, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Breanna Peterson, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013399112 a valid number?
Yes. 1013399112 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.