AMANDA D PETERSEN PA-C NPI 1528391372

NPI Information

  • NPI: 1528391372
  • Provider Name: AMANDA D PETERSEN, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4804 W CLEARWATER AVE
    KADLEC CLINIC URGENT CARE
    KENNEWICK, WA
    ZIP 99336
  • Phone: (509) 942-2355

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NPI Details

Amanda D Petersen, PA-C is a medical physician assistant in Kennewick, WA. Amanda D Petersen, PA-C NPI is 1528391372. 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:

4804 W CLEARWATER AVE
KADLEC CLINIC URGENT CARE
KENNEWICK, WA
ZIP 99336
Phone: (509) 942-2355
Fax: (509) 222-2355

The NPI 1528391372 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Automated urinalysis test (HCPCS:81003)
  • Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus (HCPCS:87426)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Removal of impacted ear wax by washing (HCPCS:69209)

The enumeration date for this NPI number is 9/11/2009 and was last updated on 1/22/2014.

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
1363AM0700XPhysician AssistantMedicalPENDINGWASHINGTONNo
2363AM0700XPhysician AssistantMedicalPA60113833WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528391372MEDICAIDWASHINGTON

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: 11/21/2025

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