Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033198957 Individual Practitioner Male Practitioner

Robert Peterson , PA-C

Physician Assistant • Spooner, WI

Professional Overview & Biography Verified Profile Summary

Robert Peterson, PA-C is a registered healthcare professional specializing in Physician Assistant in Spooner, WI. Practice services are available at 707 ASH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 Ash Street

Spooner, WI 54801

Telephone 7156352151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Spooner, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Spooner, WI (3517 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 MN 9873

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
110533700 (MN)
Commercial Insurance / Payer ID Champus
410849339 56001 G011
Commercial Insurance / Payer ID Preferred One
NA2951011331 (MN)
Commercial Insurance / Payer ID Bcbs
209L9PE (MN)
Commercial Insurance / Payer ID Ucare
115317 (MN)
Commercial Insurance / Payer ID Medica
0117135 (MN)
Commercial Insurance / Payer ID Health Partners
HP20659 (MN)

Practice Associates & Co-Workers

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

15 Associated Practitioners
Joseph Stromsness , APRN, CNP

Nurse Practitioner - Family

NPI 1013395748

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Ethan Smith , PA-C

Physician Assistant

NPI 1073215984

Physician Assistant (Certified)

Bruce Bray

Family Medicine

NPI 1154458537
Brianna Stein , LAT

Specialist/Technologist - Athletic Trainer

NPI 1366842056

Licensed Athletic Trainer

Dr. Roger Handtke , DO

Family Medicine

NPI 1396776589

Doctor of Osteopathic Medicine (D.O.)

Dr. Megan Popp , MD

Physical Medicine & Rehabilitation

NPI 1427208677

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 September 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2008

Registered at 707 ASH STREET, SPOONER, WI 54801 (Tel: 7156352151)

📍
Updated Business Mailing Address September 24, 2008

Registered at 707 ASH STREET, SPOONER, WI 54801 (Tel: 7156352151)

👤
Provider Name / Credentials Updated September 24, 2008

Recorded as ROBERT PETERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2008

Physician Assistant (License #9873 in MN)

🟢
Initial NPI Registration & Enumeration January 10, 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: 1033198957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: September 24, 2008
Sole Proprietor: No

Mailing Address

707 Ash Street

Spooner, WI 54801

Phone: 7156352151

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.