Individual ProviderKaren PetersonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address88 Hospital Dr, Spruce Pine, NC 28777-8943(828) 765-6101(828) 536-5125PECOS EnrollmentBased on the most recent information from CMS, provider Karen Peterson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437624459Provider TypeIndividualFull NamePeterson, KarenCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date10/5/2018Last Updated3/15/2022Contact InformationPractice LocationPractice Address88 Hospital Dr, Spruce Pine, NC 28777-8943Phone(828) 765-6101Fax(828) 765-2383Mailing LocationMailing Address14 Academy Street, Burnsville, NC 28714-2902Phone(828) 536-5125Fax(828) 536-5112Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5011085North Carolina