PETERSON MEDICAL CLINICS, LLC
PETERSON MEDICAL CLINICS, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1699295774, based in Grand Forks, ND. The organization lists 2 taxonomy classifications, with Multi-Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 3674 S WASHINGTON ST, Grand Forks, ND 58201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9335412220
Enrolled in Medicare 31 times, across 31 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| North Dakota | O20170828003640 | Part B Supplier - Clinic/group Practice |
| Minnesota | O20180420000250 | Part B Supplier - Clinic/group Practice |
| Alaska | O20190114000776 | Part B Supplier - Clinic/group Practice |
| Utah | O20200422001519 | Part B Supplier - Clinic/group Practice |
| South Dakota | O20230801004470 | Part B Supplier - Clinic/group Practice |
| Montana | O20240502002314 | Part B Supplier - Clinic/group Practice |
| Illinois | O20241227000938 | Part B Supplier - Clinic/group Practice |
| Idaho | O20250116003110 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250121002075 | Part B Supplier - Clinic/group Practice |
| Texas | O20250122001475 | Part B Supplier - Clinic/group Practice |
| New York | O20250123000813 | Part B Supplier - Clinic/group Practice |
| Louisiana | O20250123001407 | Part B Supplier - Clinic/group Practice |
| District of Columbia | O20250127000916 | Part B Supplier - Clinic/group Practice |
| Maine | O20250128001244 | Part B Supplier - Clinic/group Practice |
| Colorado | O20250206000686 | Part B Supplier - Clinic/group Practice |
| Connecticut | O20250212000642 | Part B Supplier - Clinic/group Practice |
| Arkansas | O20250218001404 | Part B Supplier - Clinic/group Practice |
| Kansas | O20250221000689 | Part B Supplier - Clinic/group Practice |
| Georgia | O20250226002330 | Part B Supplier - Clinic/group Practice |
| Alabama | O20250228002537 | Part B Supplier - Clinic/group Practice |
| Virginia | O20250303000199 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20250304000622 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20250322000150 | Part B Supplier - Clinic/group Practice |
| Ohio | O20250324002098 | Part B Supplier - Clinic/group Practice |
| South Carolina | O20250401000079 | Part B Supplier - Clinic/group Practice |
| Maryland | O20250417002751 | Part B Supplier - Clinic/group Practice |
| New Hampshire | O20250528002453 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20251125003176 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20251204002254 | Part B Supplier - Clinic/group Practice |
| Michigan | O20260202000965 | Part B Supplier - Clinic/group Practice |
| Arizona | O20260302000083 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 31 separate enrolment records across 31 states (ND, MN, AK, UT, SD, MT, IL, ID, MO, TX, NY, LA, DC, ME, CO, CT, AR, KS, GA, AL, VA, NC, TN, OH, SC, MD, NH, NJ, WI, MI, AZ). 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.
What Multi-Specialty covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM1300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | ND | primary |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — |
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1699295774 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 21, 2017 |
| Last updated | Mar 27, 2026 |
| Status | Active |
| Practice address |
3674 S WASHINGTON ST Grand Forks, ND 58201 (701) 205-3000 Fax (701) 732-2501 |
| Mailing address |
PO BOX 5210 Grand Forks, ND 58206 |
Number check
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 | 6 | 9 | 9 | 2 | 9 | 5 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 9 | 9 | 4 | 9 | 1 | 7 | 5 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
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.