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Active NPI 1790745792 Individual Practitioner Male Practitioner

Dr. Peter M Mikkelsen , MD

Emergency Medicine • Pullman, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Mikkelsen, MD is a certified Emergency Medicine practicing in Pullman, WA. With approximately 30 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 1996, Dr. Mikkelsen delivers high-quality medical care to the local community at 835 SE BISHOP BLVD.

Dr. Mikkelsen is affiliated with Public Hospital District 1-A Of Whitman County and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

835 Se Bishop Blvd

Pullman, WA 991635512

Telephone 5093367388
Fax 5093367389
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Pullman, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +7.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Pullman, WA (1495 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

Clinical Seniority & Experience Comparison

Dr. Mikkelsen (30 Years) 30 Yrs
Pullman Specialty Average (23.0 Years) 23.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-14
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License WA MD00042890

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1790745792 (WA)
Medicaid State Provider ID
1019013 (WA)
Medicaid State Provider ID
500601704 (OR)

Hospital & Practice Group Affiliations

Public Hospital District 1-A Of Whitman County

835 Se Bishop Blvd, Pullman, WA 991635512

Phone: 5093322541

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Hannah Bancroft , CRNA, DNP

Nurse Anesthetist, Certified Registered

NPI 1033824784

Certified Registered Nurse Anesthetist, Doctor of Nursing Practice

Dr. Gerardo Rodriquez , MD

Emergency Medicine

NPI 1245299916

Doctor of Medicine (M.D.)

Dr. Larry Brown , MD

Emergency Medicine

NPI 1275593378

Doctor of Medicine (M.D.)

Dr. Stephen Bergmann , MD

Emergency Medicine

NPI 1386604486

Doctor of Medicine (M.D.)

Dr. William Gibson , NP, PhD

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467408815

Nurse Practitioner, Doctor of Philosophy (Ph.D.)

Dr. Richard Caggiano , MD

Emergency Medicine

NPI 1679533772

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2012

Registered at 835 SE BISHOP BLVD, PULLMAN, WA 991635512 (Tel: 5093367388)

📍
Updated Business Mailing Address April 26, 2012

Registered at 835 SE BISHOP BLVD, PULLMAN, WA 991635512 (Tel: 5093367388)

👤
Provider Name / Credentials Updated April 26, 2012

Recorded as PETER MIKKELSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2012

Emergency Medicine (License #MD00042890 in WA)

🟢
Initial NPI Registration & Enumeration March 24, 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: 1790745792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: July 14, 2025
Sole Proprietor: No

Mailing Address

835 Se Bishop Blvd

Pullman, WA 991635512

Phone: 5093367388

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.