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Active NPI 1720658354 Individual Practitioner Female Practitioner

Emily Petersen , PA-C

Physician Assistant • Ochelata, OK

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Emily Petersen, PA-C is a certified Physician Assistant practicing in Ochelata, OK. With approximately 5 years of clinical experience since completing medical education in 2021, Emily Petersen delivers high-quality medical care to the local community at 395200 W 2900 RD.

Emily Petersen is affiliated with Cherokee Nation 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, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, smoking and tobacco use intensive counseling, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

395200 W 2900 Rd

Ochelata, OK 740512463

Telephone 9185356000
Associated Practice Facility / Clinic
🏢 Cherokee Nation Facility NPI 1629476221

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ochelata, OK

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Ochelata, OK (1911 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
16.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (5 Years) 5 Yrs
Ochelata Specialty Average (5.0 Years) 5.0 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
234 136 $91.93 $76.96
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
82 64 $15.42 $13.12
99213 Established patient office or other outpatient visit, typically 15 minutes
76 66 $62.21 $51.95

Medical Specialties & State Licenses

CMS Verified: 2022-06-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 4779

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

Cherokee Nation

100 S Bliss Ave, Tahlequah, OK 744642512

Phone: 9184583100

Practice Associates & Co-Workers

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

10 Associated Practitioners
Bailee Rowlett

Nurse Practitioner - Family

NPI 1023697042
Kaylin Jones , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1023838315

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1053430512

Doctor of Osteopathic Medicine (D.O.)

Kyah Dixon

Student in an Organized Health Care Education/Training Program

NPI 1083406417
Dr. Conner West , OD

Student in an Organized Health Care Education/Training Program

NPI 1164358412

Doctor of Optometry

Brandon Hart

Family Medicine

NPI 1255915161

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 09, 2022

Registered at 395200 W 2900 RD, OCHELATA, OK 740512463 (Tel: 9185356000)

👤
Provider Name / Credentials Updated June 09, 2022

Recorded as EMILY PETERSEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2022

Physician Assistant (License #4779 in OK)

NPI Profile Active June 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2021

Registered at 11208 W 50TH ST, SHAWNEE, KS 662031547 (Tel: 9132387424)

📍
Updated Business Mailing Address June 27, 2021

Registered at 11208 W 50TH ST, SHAWNEE, KS 662031547 (Tel: 9132387424)

👤
Provider Name / Credentials Updated June 27, 2021

Recorded as EMILY PETERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 27, 2021

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: 1720658354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2021
Last Update: June 09, 2022
Sole Proprietor: No

Mailing Address

11208 W 50th St

Shawnee, KS 662031547

Phone: 9132387424

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.