DEANNA HELENE PETERSEN PA-C NPI 1225504442

NPI Information

  • NPI: 1225504442
  • Provider Name: DEANNA HELENE PETERSEN, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 350 PARRISH ST
    CANANDAIGUA, NY
    ZIP 14424
  • Phone: (585) 396-6600

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NPI Details

Deanna Helene Petersen, PA-C is a physician assistant in Canandaigua, NY with 7 years of experience. The provider is 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. Deanna Helene Petersen, PA-C NPI is 1225504442. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

350 PARRISH ST
CANANDAIGUA, NY
ZIP 14424-731
Phone: (585) 396-6600

The NPI 1225504442 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 10/15/2018 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant22830NEW YORKNo
2363A00000XPhysician Assistant022830NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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