Individual provider

Anne Petersen, MD

Family Medicine Physician Medicare enrolled

Anne Petersen, MD is a Family Medicine Physician in Portland, OR, registered under NPI 1043398613.

Getting there

The practice address on file is 2850 NW NICOLAI ST, Portland, OR 97210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2850 NW NICOLAI ST, Portland, OR 97210 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MD230287 OR Family Medicine Physician primary
MD.MD.70125406 WA Family Medicine Physician
A94402 CA Family Medicine Physician
2014-00719 NC Family Medicine Physician

Licences are recorded in 4 states: OR, WA, CA, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
9234264656

Enrolled in Medicare 11 times, across 11 states:

StateEnrollment IDProvider type
North Carolina I20140703000945 Practitioner - Family Practice
Georgia I20220908001377 Practitioner - Family Practice
Wisconsin I20221031003106 Practitioner - Internal Medicine
Illinois I20230201001846 Practitioner - Family Practice
Michigan I20230329003288 Practitioner - Family Practice
Indiana I20230403000240 Practitioner - Internal Medicine
West Virginia I20230406002508 Practitioner - Family Practice
Tennessee I20230425000411 Practitioner - Family Practice
Alabama I20240131001085 Practitioner - Family Practice
Ohio I20240205003519 Practitioner - Family Practice
Kentucky I20240930003480 Practitioner - Family Practice

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. There are 11 separate enrolment records across 11 states (NC, GA, WI, IL, MI, IN, WV, TN, AL, OH, KY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 4 states

This provider holds licences in 4 states: California, North Carolina, Oregon and Washington. The practice address on file is in Portland, OR, 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.

CA California
Licence
A94402
Specialty
Family Medicine Physician
Verify with the CA board →
NC North Carolina
Licence
2014-00719
Specialty
Family Medicine Physician
Verify with the NC board →
OR Oregon practice address
Licence
MD230287
Specialty
Family Medicine Physician
Verify with the OR board →
WA Washington
Licence
MD.MD.70125406
Specialty
Family Medicine Physician
Verify with the WA 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 Family Medicine covers

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians ›Family Medicine

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207Q00000X Family Medicine Physician MD230287 OR primary
207Q00000X Family Medicine Physician MD.MD.70125406 WA
207Q00000X Family Medicine Physician A94402 CA
207Q00000X Family Medicine Physician 2014-00719 NC

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.

NPI1043398613 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 1, 2006
Last updatedJul 27, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialMD
Practice address 2850 NW NICOLAI ST
Portland, OR 97210
(800) 813-2000
Mailing address 500 NE MULTNOMAH ST STE 100
Portland, OR 97232
This record was updated on Jul 27, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1043398613 passes the NPI check digit test The final digit 3 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 4 3 3 9 8 6 1
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 8 3 6 9 7 6 2

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

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 1043398613?
NPI 1043398613 is the National Provider Identifier assigned to Anne Petersen, MD in Portland, OR. 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 Family Medicine Physician cover?
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
How do I contact Anne Petersen, MD?
The phone number on file with NPPES is (800) 813-2000, last updated Jul 27, 2026. 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 Anne Petersen, MD 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 1043398613 a valid number?
Yes. 1043398613 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.