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Active NPI 1437260171 Individual Practitioner Male Practitioner

Patrick C Peterson , PA-C

Physician Assistant • Liberty Lake, WA

Professional Overview & Biography Verified Profile Summary

Patrick Peterson, PA-C is a registered healthcare professional specializing in Physician Assistant in Liberty Lake, WA. Practice services are available at 1326 N STANFORD LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1326 N Stanford Ln

Liberty Lake, WA 990195034

Telephone 5098382531
Associated Practice Facility / Clinic
🏢 Rockwood Clinic Ps Facility NPI 1699174383

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Liberty Lake, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Liberty Lake, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003923

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8427494 (WA)
Commercial Insurance / Payer ID L&i
0212972 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003016163

Doctor of Medicine (M.D.)

Katherine Lefler , RD

Dietitian, Registered

NPI 1003049859

Registered Dietitian

NPI 1003134933

REGISTEREDDIETITIAN

Joseph Kreilkamp , PA-C

Physician Assistant

NPI 1003263542

Physician Assistant (Certified)

NPI 1003809252

Doctor of Podiatric Medicine

Shawn Edgerly , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1003837691

Master of Science, Certified Athletic Trainer

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2011

Registered at 1326 N STANFORD LN, LIBERTY LAKE, WA 990195034 (Tel: 5098382531)

📍
Updated Business Mailing Address December 12, 2011

Registered at PO BOX 3649, SPOKANE, WA 992203649

👤
Provider Name / Credentials Updated December 12, 2011

Recorded as PATRICK PETERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2011

Physician Assistant (License #PA10003923 in WA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

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: 1437260171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: December 12, 2011
Sole Proprietor: No

Mailing Address

Po Box 3649

Spokane, WA 992203649

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.