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Active NPI 1538203476 Individual Practitioner Female Practitioner

Michelle A Petersen , PA-C

Physician Assistant • Lincoln, NE

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Michelle Petersen, PA-C is a certified Physician Assistant practicing in Lincoln, NE. With approximately 22 years of clinical experience since completing medical education in 2004, Michelle Petersen delivers high-quality medical care to the local community at 4004 PIONEER WOODS DR.

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

Practice Location & Contact Primary Location

Practice Address

4004 Pioneer Woods Dr

Lincoln, NE 685067548

Telephone 4024844900
Fax 4024846456
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lincoln, NE

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +11.8 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
300 Specialists

Practicing in Lincoln, NE (1366 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (22 Years) 22 Yrs
Lincoln Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
50 16 $460.36 $140.66

Medical Specialties & State Licenses

CMS Verified: 2023-05-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 1204

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IA 001911

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.

Secondary Practice Locations

4001 Pioneer Woods Dr

Lincoln, NE 685067547

Phone: 4024844900

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Amanda Woodward , MD

Family Medicine - Hospice and Palliative Medicine

NPI 1013464114

Doctor of Medicine (M.D.)

Chelsea Saathoff , RN, BSN

Registered Nurse - Oncology

NPI 1053298224

Registered Nurse, Bachelor of Science in Nursing

Haley Blum , PA-C

Physician Assistant

NPI 1073233938

Physician Assistant (Certified)

Michelle Vietz , PA-C

Physician Assistant

NPI 1083282552

Physician Assistant (Certified)

Dr. Eric Avery , MD

Internal Medicine - Hematology & Oncology

NPI 1093934598

Doctor of Medicine (M.D.)

Courtney Michels

Registered Nurse - Oncology

NPI 1124945084

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location November 04, 2022

Registered at 4004 PIONEER WOODS DR, LINCOLN, NE 685067548 (Tel: 4024844900)

📍
Updated Business Mailing Address November 04, 2022

Registered at 4004 PIONEER WOODS DR, LINCOLN, NE 685067548 (Tel: 4024844900)

👤
Provider Name / Credentials Updated November 04, 2022

Recorded as MICHELLE PETERSEN, PA-C

📍
Updated Practice Location August 16, 2018

Registered at 2221 S 17TH ST STE 202, LINCOLN, NE 68502 (Tel: 4024838555)

📍
Updated Business Mailing Address August 16, 2018

Registered at 2222 S 16TH ST STE 400A, LINCOLN, NE 685023785 (Tel: 4024838590)

📍
Updated Practice Location August 13, 2018

Registered at 2222 S 16TH ST, SUITE 410, LINCOLN, NE 68502 (Tel: 4024838555)

📍
Updated Business Mailing Address August 13, 2018

Registered at 2221 S 17TH ST STE 202, LINCOLN, NE 685023763 (Tel: 4024838555)

👤
Provider Name / Credentials Updated August 13, 2018

Recorded as MICHELLE PETERSEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Physician Assistant (License #001911 in IA)

NPI Profile Active November 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 21, 2011

Registered at 2222 S 16TH ST, SUITE 410, LINCOLN, NE 685023796 (Tel: 4024838555)

📍
Updated Business Mailing Address November 21, 2011

Registered at 2222 S 16TH ST, SUITE 400A, LINCOLN, NE 685023796 (Tel: 4024838590)

👤
Provider Name / Credentials Updated November 21, 2011

Recorded as MICHELLE BULLER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2011

Physician Assistant (License #1204 in NE)

🟢
Initial NPI Registration & Enumeration February 16, 2007

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: 1538203476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: May 01, 2023
Sole Proprietor: No

Mailing Address

4004 Pioneer Woods Dr

Lincoln, NE 685067548

Phone: 4024844900

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.