Question 1

What type of a medical provider is Stephanie Lynn Petersen?

Accepted Answer

Stephanie Lynn Petersen is a Nurse Practitioner (Family).

Question 2

Where does Stephanie Lynn Petersen practice medicine?

Accepted Answer

Stephanie Lynn Petersen has the following practice address:171 ASHLEY AVE, CHARLESTON, SC 29425-0100

Question 3

Does this provider have a license number?

Accepted Answer

Stephanie Lynn Petersen has 2 license numbers, including: License Number 22348 issued in South Carolina.

Question 4

Does Stephanie Lynn Petersen accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Stephanie Lynn Petersen have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Stephanie Lynn Petersen a member of any Medical Groups?

Accepted Answer

Stephanie Lynn Petersen is not affiliated with any medical groups.

Question 7

Does Stephanie Lynn Petersen participate in PECOS?

Accepted Answer

Yes, Stephanie Lynn Petersen participates in PECOS.

Question 8

What phone number can I call to contact Stephanie Lynn Petersen?

Accepted Answer

You can call the following number: (843)-792-1414

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Stephanie Lynn Petersen.

Question 10

Is Stephanie Lynn Petersen  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 7 years ago (11/28/2018).

Type/Issuer	Identifier	State
MEDICAID	500672839	OR
MEDICAID	2038729	WA

Taxonomy	State	Primary?
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	SC	Y
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	WA	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Stephanie Lynn Petersen

Overview