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Active NPI 1093434870 Individual Practitioner Female Practitioner

Anissa Peterson , PA-C

Physician Assistant • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Anissa Peterson, PA-C is a certified Physician Assistant practicing in Jackson, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Anissa Peterson delivers high-quality medical care to the local community at 1111 TENEYCK ST STE 100.

Anissa Peterson is affiliated with W. A. Foote Memorial Hospital, Inc. and accepts Medicare assignment.

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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1111 Teneyck St Ste 100

Jackson, MI 492012493

Telephone 5172058940
Fax 5172050108
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jackson, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
104 Specialists

Practicing in Jackson, MI (7057 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (4 Years) 4 Yrs
Jackson Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
277 177 $160.00 $79.11
99213 Established patient office or other outpatient visit, typically 15 minutes
105 83 $110.00 $53.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
54 54 $172.00 $104.45

Medical Specialties & State Licenses

CMS Verified: 2025-10-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601011567

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

W. A. Foote Memorial Hospital, Inc.

205 N E Ave, Jackson, MI 492011753

Phone: 2177879322

Secondary Practice Locations

2845 Capital Ave Sw Ste 302

Battle Creek, MI 490154187

Phone: 2699796333

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Tate Naylor , MD

Otolaryngology

NPI 1144718701

Doctor of Medicine (M.D.)

Dr. Syed Ali , MD

Otolaryngology

NPI 1164800546

Doctor of Medicine (M.D.)

NPI 1174217418

Doctor of Audiology

Kristen Patel , PA-C

Physician Assistant

NPI 1386262574

Physician Assistant (Certified)

Beverly Russell , PA

Physician Assistant

NPI 1568573947

Physician Assistant

NPI 1811438245

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location October 06, 2025

Registered at 1111 TENEYCK ST STE 100, JACKSON, MI 492012493 (Tel: 5172058940)

📍
Updated Business Mailing Address October 06, 2025

Registered at 1 FORD PL STE 3A, DETROIT, MI 482023450 (Tel: 3138744806)

👤
Provider Name / Credentials Updated January 24, 2025

Recorded as ANISSA PETERSON, PA-C

📍
Updated Practice Location December 15, 2023

Registered at 2845 CAPITAL AVE SW STE 302, BATTLE CREEK, MI 490154187 (Tel: 2699796333)

📍
Updated Business Mailing Address December 15, 2023

Registered at 601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007

👤
Provider Name / Credentials Updated December 15, 2023

Recorded as ANISSA MARTINEZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2023

Physician Assistant (License #5601011567 in MI)

📍
Updated Practice Location January 29, 2023

Registered at 215 E MANSION ST, WRIGHT MEDICAL BUILDING, SUITE 2F, MARSHALL, MI 490684906 (Tel: 2697812111)

NPI Profile Active August 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2022

Registered at 4001 W MCNICHOLS RD, DETROIT, MI 482213038 (Tel: 3139931245)

📍
Updated Business Mailing Address August 24, 2022

Registered at 3691 ANDERSON DR, ALBION, MI 492249316 (Tel: 5178962490)

👤
Provider Name / Credentials Updated August 24, 2022

Recorded as ANISSA MARTINEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 24, 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: 1093434870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2022
Last Update: October 06, 2025
Sole Proprietor: No

Mailing Address

1 Ford Pl Ste 3a

Detroit, MI 482023450

Phone: 3138744806

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.