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Active NPI 1740265941 Individual Practitioner Female Practitioner

Dale Ann Petersen , PA-C

Physician Assistant • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dale Petersen, PA-C is a certified Physician Assistant practicing in Spokane, WA. With approximately 30 years of clinical experience since completing medical education in 1996, Dale Petersen delivers high-quality medical care to the local community at 322 W NORTH RIVER DR.

Dale Petersen is affiliated with Kaiser Foundation Health Plan Of Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of pneumococcal vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

322 W North River Dr

Spokane, WA 992013208

Telephone 5093246464
Fax 5092412056
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spokane, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +17.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
320 Specialists

Practicing in Spokane, WA (3774 Statewide)

Telehealth Adoption Rate
14.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (30 Years) 30 Yrs
Spokane Specialty Average (12.2 Years) 12.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes
15 15 $270.35 $76.88

Medical Specialties & State Licenses

CMS Verified: 2021-04-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10003457

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

Kaiser Foundation Health Plan Of Washington

6002 N Lidgerwood St, Spokane, WA 992081124

Phone: 5094824402

Kaiser Foundation Health Plan Of Washington

9505 S Steele St, Tacoma, WA 984441858

Phone: 2535976800

Kaiser Foundation Health Plan Of Washington

322 W N River Dr, Spokane, WA 992013208

Phone: 5093246464

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Edward Brow , MD

Family Medicine

NPI 1003963034

Doctor of Medicine (M.D.)

Dr. Timothy Meyer , MD

Family Medicine

NPI 1043363203

Doctor of Medicine (M.D.)

NPI 1053738443

OMSIV

Danielle Riggs , ARNP

Nurse Practitioner - Family

NPI 1063414043

Advanced Registered Nurse Practitioner

NPI 1063568970

Doctor of Optometry

NPI 1073501037

Registered Pharmacist

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 30, 2020

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5093246464)

📍
Updated Business Mailing Address January 30, 2020

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5093246464)

📍
Updated Practice Location May 30, 2018

Registered at 1111 E WESTVIEW CT STE B, SPOKANE, WA 99218 (Tel: 5096886700)

📍
Updated Business Mailing Address May 30, 2018

Registered at PO BOX 3867, SPOKANE, WA 992203867 (Tel: 5096886700)

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2012

Registered at 104 W 5TH AVE, SUITE 200W, SPOKANE, WA 992044880 (Tel: 5096242313)

📍
Updated Business Mailing Address February 28, 2012

Registered at 104 W 5TH AVE, SUITE 200W, SPOKANE, WA 992044880 (Tel: 5096242313)

👤
Provider Name / Credentials Updated February 28, 2012

Recorded as DALE PETERSEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Physician Assistant (License #PA10003457 in WA)

🟢
Initial NPI Registration & Enumeration December 09, 2005

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: 1740265941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: April 28, 2021
Sole Proprietor: No

Mailing Address

322 W North River Dr

Spokane, WA 992013208

Phone: 5093246464

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.