MRS. KRISTINE MIKA PETERSON R.D.
NPI 1023565355
Dietitian, Registered in Seattle, WA
About Mrs. Kristine Mika Peterson R.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTINE MIKA PETERSON R.D. (NPI 1023565355) is an individual dietitian, registered in Seattle, Washington, licensed in Washington (DI60720921) and active in the NPI registry since September 2016. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Kristine Mika Peterson R.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristine Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98133
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristine Peterson's NPI number?
The NPI number for Kristine Peterson is 1023565355. It was assigned to this individual provider in the NPPES registry on September 2, 2016. The provider is also known as Kristine Tamaki R.D..
Where is Kristine Peterson located?
Kristine Peterson practices at 1550 N 115th St, Seattle, WA 98133. The listed phone number is (206) 520-5000.
What is Kristine Peterson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kristine Peterson enrolled in Medicare?
Yes. Kristine Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristine Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Peterson reassigns Medicare benefits to The Association Of University Physicians (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristine Peterson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kristine Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kristine Peterson was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Kristine Mika Peterson, R.D. · NPI 1023565355
Dietitian, Registered provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since September 2, 2016.
## Identity
- **NPI:** 1023565355 (Entity type: Individual)
- **Enumerated:** September 2, 2016
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** DI60720921 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 N 115TH ST, Seattle, WA 98133-8401
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** The Association Of University Physicians (NPI 1023041159, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 3, 2024
- **Other identifiers:** Other 1033963 (AZ); Medicaid 1023565355 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1023565355) · Data from the CMS NPPES public registry.