Active NPI 1083764252 Individual Practitioner Female Practitioner

Nancy Anne Peterson , PA-C

Physician Assistant • Boulder, CO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nancy Peterson, PA-C is a certified Physician Assistant practicing in Boulder, CO. With approximately 35 years of clinical experience since completing medical education in 1991, Nancy Peterson delivers high-quality medical care to the local community at 5495 ARAPAHOE AVE STE 100.

Nancy Peterson is affiliated with Boulder Community Health and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5495 Arapahoe Ave Ste 100

Boulder, CO 803031224

Telephone 3034154250

Fax 3034409629

Associated Practice Facility / Clinic

🏢 Boulder Community Health Facility NPI 1013564517

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +23.0 yrs vs City Avg

City Avg: 12.0 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

101 Specialists

Practicing in Boulder, CO (3810 Statewide)

Telehealth Adoption Rate

12.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (35 Years) 35 Yrs

Boulder Specialty Average (12.0 Years) 12.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	147	$252.52	$81.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$256.61	$46.37
99213 Established patient office or other outpatient visit, typically 15 minutes	73	66	$178.53	$59.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	70	57	$362.61	$101.75
G0008 Administration of influenza virus vaccine	32	31	$42.81	$32.58
90662 Influenza vaccine split virus, preservative free	26	26	$84.00	$81.82
G0009 Administration of pneumococcal vaccine	17	17	$40.88	$32.58
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$317.00	$288.84
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$42.00	$12.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$326.58	$90.44
81003 Automated urinalysis test	12	12	$10.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	125	$236.00	$78.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$240.00	$52.87
99213 Established patient office or other outpatient visit, typically 15 minutes	64	60	$167.00	$70.43
G0008 Administration of influenza virus vaccine	33	33	$40.00	$31.04
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	31	31	$80.00	$75.81
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$306.00	$89.53
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$311.56	$281.38
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$31.04
91322 Sarscov2 vac 50 mcg/0.5ml im	15	15	$147.00	$143.00
90480 Admn sarscov2 vacc 1 dose	15	15	$74.00	$41.39
81003 Automated urinalysis test	12	12	$10.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	139	$179.00	$82.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$214.00	$53.76
99213 Established patient office or other outpatient visit, typically 15 minutes	76	60	$122.00	$67.72
G0008 Administration of influenza virus vaccine	30	30	$40.00	$30.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$22.97	$21.07
G0009 Administration of pneumococcal vaccine	26	26	$40.00	$30.44
0124A Fee covid-19 vac 13 res	21	21	$62.00	$40.02
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$42.00	$12.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$134.86	$131.37
81003 Automated urinalysis test	14	13	$10.00	$2.22
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$281.00	$76.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$97.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$288.00	$278.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	120	$179.00	$90.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	77	77	$214.00	$116.91
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	39	$22.00	$20.51
G0008 Administration of influenza virus vaccine	41	39	$40.00	$17.52
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$122.00	$63.76
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$42.00	$13.09
99442 Telephone medical discussion with physician, 11-20 minutes	16	15	$87.56	$78.64
G0009 Administration of pneumococcal vaccine	13	13	$40.00	$17.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$132.00	$125.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$281.00	$147.95
81003 Automated urinalysis test	11	11	$10.00	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	84	$177.72	$75.56
99213 Established patient office or other outpatient visit, typically 15 minutes	83	64	$121.04	$53.10
36415 Insertion of needle into vein for collection of blood sample	61	53	$15.00	$2.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$214.00	$101.93
G0008 Administration of influenza virus vaccine	40	38	$40.00	$17.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	38	$22.00	$19.49
99442 Telephone medical discussion with physician, 11-20 minutes	27	21	$67.00	$58.31
81003 Automated urinalysis test	16	13	$10.00	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	153	$163.00	$72.21
99213 Established patient office or other outpatient visit, typically 15 minutes	116	95	$112.00	$49.18
36415 Insertion of needle into vein for collection of blood sample	95	79	$15.00	$2.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$214.00	$99.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	41	40	$22.88	$18.20
G0008 Administration of influenza virus vaccine	40	39	$40.00	$16.80
81003 Automated urinalysis test	21	19	$10.00	$2.44
83036 Hemoglobin A1C level	17	13	$22.00	$10.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$261.00	$146.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	274	175	$163.00	$73.34
36415 Insertion of needle into vein for collection of blood sample	108	100	$15.00	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$112.00	$48.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$214.00	$100.31
G0008 Administration of influenza virus vaccine	36	35	$40.00	$20.73
81003 Automated urinalysis test	24	19	$10.00	$2.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$24.48	$18.65
G0009 Administration of pneumococcal vaccine	15	15	$40.00	$20.73
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$42.00	$14.64
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$23.25	$22.40
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$261.00	$147.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	169	$80.30	$61.17
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$53.88	$39.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$214.00	$99.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$261.00	$146.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$15.00	$7.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CO PA.0001107

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Boulder Community Health

1755 48th St, Boulder, CO 803012712

Phone: 3034157450

Boulder Community Health

5495 Arapahoe Ave, Boulder, CO 803031224

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Dr. Mark Haimes , MD

Internal Medicine

NPI 1114908613

Doctor of Medicine (M.D.)

Dr. Kimberly Brandstetter , DO

Internal Medicine

NPI 1205134350

Doctor of Osteopathic Medicine (D.O.)

Dr. Philip Weber , MD

Family Medicine

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Doctor of Medicine (M.D.)

Dr. Benjamin Keidan , MD

Internal Medicine

NPI 1316032584

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location May 10, 2019

Registered at 5495 ARAPAHOE AVE STE 100, BOULDER, CO 803031224 (Tel: 3034154250)

📍

Updated Practice Location July 24, 2018

Registered at 5495 ARAPAHOE AVE STE 100, BOULDER, CO 80303 (Tel: 3034154250)

✅

NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 09, 2017

Registered at 4820 RIVERBEND RD, 100, BOULDER, CO 803012618 (Tel: 3034157272)

📍

Updated Business Mailing Address November 09, 2017

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034157272)

👤

Provider Name / Credentials Updated November 09, 2017

Recorded as NANCY PETERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant (License #PA.0001107 in CO)

✅

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2016

Registered at 4820 RIVERBEND RD, 100, BOULDER, CO 803012618 (Tel: 3034157272)

📍

Updated Business Mailing Address November 14, 2016

Registered at 5450 WESTERN AVE, BOULDER, CO 803012709 (Tel: 3034154770)

👤

Provider Name / Credentials Updated November 14, 2016

Recorded as NANCY PETERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Physician Assistant (License #PA.0001107 in CO)

🟢

Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1083764252

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 11, 2007

Last Update: May 10, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5450 Western Ave

Boulder, CO 803012709

Phone: 3034154250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.