Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720705957 Individual Practitioner Female Practitioner

Katherine Petersen , PA

Physician Assistant • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Katherine Petersen, PA is a registered healthcare professional specializing in Physician Assistant in Chicago, IL. Practice services are available at 1 E ERIE ST STE 530 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 E Erie St Ste 530

Chicago, IL 606112792

Telephone 7736774300
Fax 7734238429
Associated Practice Facility / Clinic
🏢 Kaminska Dermatology Pllc Facility NPI 1265073415

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99213 Established patient office or other outpatient visit, typically 15 minutes
125 106 $157.00 $78.12
17003 Destruction of precancer skin growth, 2-14 growths
87 25 $36.00 $5.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
50 50 $94.00 $49.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
49 40 $229.00 $112.13
17000 Destruction of skin growth
37 35 $189.00 $49.27
11102 Tangential biopsy of single skin lesion
30 29 $267.00 $82.51
17110 Destruction of up to 14 skin growths
26 24 $257.00 $100.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
18 18 $235.00 $98.36
99202 New patient office or other outpatient visit, typically 20 minutes
15 15 $160.00 $63.38

Medical Specialties & State Licenses

CMS Verified: 2025-07-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-009537

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Krystal Weiand , PA-C

Physician Assistant

NPI 1073023016

Physician Assistant (Certified)

NPI 1407083496

Doctor of Medicine (M.D.)

Hanna Block , PA-C

Physician Assistant

NPI 1821612532

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 08, 2025

Registered at 1 E ERIE ST STE 530, CHICAGO, IL 606112792 (Tel: 7736774300)

📍
Updated Practice Location July 21, 2023

Registered at 40 S CLAY ST STE LL30, HINSDALE, IL 605213257 (Tel: 6302865050)

📍
Updated Business Mailing Address July 21, 2023

Registered at PO BOX 713260, CHICAGO, IL 606771260 (Tel: 6304699200)

👤
Provider Name / Credentials Updated July 21, 2023

Recorded as KATHERINE PETERSEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Physician Assistant (License #085-009537 in IL)

NPI Profile Active October 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2022

Registered at 10622 BURNET RD STE 100, AUSTIN, TX 787584482 (Tel: 3037040654)

📍
Updated Business Mailing Address October 27, 2022

Registered at 10 WEDGE WAY, LITTLETON, CO 801236630 (Tel: 3037040654)

👤
Provider Name / Credentials Updated October 27, 2022

Recorded as KATHERINE PETERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 27, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720705957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2022
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

Po Box 713260

Chicago, IL 606771260

Phone: 6304699200

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.