Active NPIIndividual providerSole proprietor

Shane C Peters, FNP-BC

Nurse Practitioner, Family in Nantucket, Massachusetts

NPI Number1689637902
Practice location
57 Prospect St, Nantucket, MA 02554-2799
Fax
—
Last updated
May 9, 2025

Shane C Peters is a Nurse Practitioner, Family based in Nantucket, MA. Shane C Peters practices in Nantucket, MA and has the professional credentials of FNP-BC. The NPI Number for Shane C Peters is 1689637902 and holds a License No. 252623 (MA). The current practice location address for Shane C Peters is 57 Prospect St, Nantucket, MA 02554-2799 and can be reached out via phone at 508-228-9053.

Provider Profile Details

NPI Number
1689637902
Provider Name
Shane C Peters
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
57 Prospect St, Nantucket, MA 02554-2799
Phone Number
508-228-9053
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Other Names
-- Shane C Bossung, NP (Former Name)
Provider Enumeration Date
April 8, 2006
Last Update Date
May 9, 2025
Certification Date
May 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Prospect St
Nantucket, MA 02554-2799
Zip
02554-2799
Phone Number
508-228-9053
Nantucket, MA 02554Get directions →

Provider Business Mailing Address Details

Address
57 Prospect St
Nantucket, MA 02554-2799
City
Nantucket
State
MA
Zip
02554-2799
Phone Number
508-228-9053

License Information

License Number (1)
252623
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN252623
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shane C Peters, FNP-BC?

The NPI number of Shane C Peters, FNP-BC is 1689637902. It was assigned on April 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Shane C Peters, FNP-BC?

Shane C Peters, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number 252623.

Where does Shane C Peters, FNP-BC practice?

The practice location is 57 Prospect St, Nantucket, MA 02554-2799. The office can be reached at 508-228-9053 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689637902 directly on the NPPES registry website.

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