Ms. Penny Petersen
Ms. Penny Petersen is a Nurse Practitioner provider (Nurse Practitioner) practicing in Mitchell, SD, registered in the NPPES registry with NPI 1114907979 since 2006.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114907979 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ms. Penny Petersen |
| Sex | Female |
| Practice address | 525 N FOSTER ST, Mitchell, SD, 57301 |
| Phone | 6059952000 |
| Enumeration date | 2006-01-18 |
| Last updated in NPPES | 2010-02-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | Primary | 000437 | SD |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6831840 | Medicaid | SD | — |
| S1639 | Other | SD | MEDICARE PTAN |
Copy-ready billing details
Provider: Penny Petersen NPI: 1114907979 Taxonomy: 363L00000X (Nurse Practitioner) Address: 525 N FOSTER ST, Mitchell, SD, 57301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154324507 | Avera Queen of Peace | Organization | Rural Acute Care Hospital | Mitchell, SD |
| 1780689489 | Avera Queen of Peace | Organization | Medicare Defined Swing Bed Hospital Unit | Mitchell, SD |
| 1851396550 | Avera Queen of Peace | Organization | Durable Medical Equipment & Medical Supplies | Mitchell, SD |
| 1740286285 | Kim Lorenzen | Individual | Anatomic Pathology & Clinical Pathology Physician | Mitchell, SD |
| 1215927355 | Mark Doohen | Individual | Family Medicine Physician | Mitchell, SD |
| 1124005269 | Campus Pharmacy | Organization | Pharmacist | Mitchell, SD |
| 1437139268 | Ed Higgins | Individual | Certified Registered Nurse Anesthetist | Mitchell, SD |
| 1750361598 | Kim Rubendall | Individual | Certified Registered Nurse Anesthetist | Mitchell, SD |
Verify this record
Cross-check NPI 1114907979 against the authoritative CMS record: view Ms. Penny Petersen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1114907979 active?
How do I verify Penny Petersen's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2010-02-26.