MISS ALICE RUTH PETERSON P.A.-C. NPI 1871654418

NPI Information

  • NPI: 1871654418
  • Provider Name: MISS ALICE RUTH PETERSON, P.A.-C.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4545 E CHANDLER BLVD STE 104
    PHOENIX, AZ
    ZIP 85048
  • Phone: (480) 728-4400

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NPI Details

MISS Alice Ruth Peterson, P.A.-C. is a medical physician assistant in Phoenix, AZ with 22 years of experience. MISS Alice Ruth Peterson, P.A.-C. NPI is 1871654418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2003

The provider's business location address is:

4545 E CHANDLER BLVD STE 104
PHOENIX, AZ
ZIP 85048-647
Phone: (480) 728-4400
Fax: (480) 728-4411

The NPI 1871654418 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)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/11/2024.

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 AssistantMedical2837ARIZONAYes
2363A00000XPhysician Assistant2837ARIZONANo

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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