Individual provider

Er'real Peterson, APRN

Gerontology Nurse Practitioner Hospitalist Physician Nurse Practitioner Medicare enrolled

Er'real Peterson, APRN is a Gerontology Nurse Practitioner in Temple Terrace, FL, registered under NPI 1396388500. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 12470 TELECOM DR STE 100, Temple Terrace, FL 33637. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12470 TELECOM DR STE 100, Temple Terrace, FL 33637 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
APRN11003381 FL Gerontology Nurse Practitioner primary
APRN11003381 FL Hospitalist Physician
APRN11003381 FL Nurse Practitioner

This provider holds licence APRN11003381 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4082040639
Enrollment ID
I20200130001942

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. 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.

What Gerontology covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Gerontology

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
363LG0600X Gerontology Nurse Practitioner Gerontology APRN11003381 FL primary
208M00000X Hospitalist Physician APRN11003381 FL
363L00000X Nurse Practitioner APRN11003381 FL

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.

NPI1396388500 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 21, 2019
Last updatedNov 3, 2020
StatusActive
Sole proprietorNo
CredentialAPRN
Practice address 12470 TELECOM DR STE 100
Temple Terrace, FL 33637
(813) 779-6303
Fax (888) 977-1998
Mailing address 4320 COMMONS DR W UNIT 4102
Destin, FL 32541
The last update on file is Nov 3, 2020. 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

1396388500 passes the NPI check digit test The final digit 0 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 3 9 6 3 8 8 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 6 8 7 5 0

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

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 1396388500?
NPI 1396388500 is the National Provider Identifier assigned to Er'real Peterson, APRN in Temple Terrace, FL. 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 Gerontology cover?
Definition to come...
How do I contact Er'real Peterson, APRN?
The phone number on file with NPPES is (813) 779-6303, last updated Nov 3, 2020. 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 Er'real Peterson, APRN 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 1396388500 a valid number?
Yes. 1396388500 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.