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ANISSA PETERSON PA-C
NPI 1093434870
Physician Assistant in Jackson, MI

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment
1111 TENEYCK ST STE 100, JACKSON, MI 49201(517) 205-8940(517) 205-0108 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 6, 2025, Dec 15, 2023, Jan 29, 2023 and 2 more (5 updates tracked since 2022).

About Anissa Peterson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANISSA PETERSON PA-C (NPI 1093434870) is an individual physician assistant in Jackson, Michigan, licensed in Michigan (5601011567) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093434870
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANISSA PETERSONCredential: PA-C
Location Address1111 TENEYCK ST STE 100Jackson, MI 49201-2493
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806
Phone(517) 205-8940
Fax(517) 205-0108
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
Last NPPES UpdateOctober 6, 20255 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1093434870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011567
Definition
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.
1111 TENEYCK ST STE 100, Jackson, MI 49201
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Other Names 1

Former Name (1)Anissa Martinez Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anissa Peterson Pa-c 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.

PECOS PAC ID840651774
PECOS Enrollment IDI20230725002534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
277 services177 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services83 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYED AHMED ALI MD
Otolaryngology
1111 TENEYCK ST STE 100
JACKSON, MI 49201
Jackson County (517) 205-8940
EMILY GRACE BUITRON COURTER AU.D.
Audiologist
1111 TENEYCK ST STE 100
JACKSON, MI 49201
Jackson County (517) 205-8940
KRISTEN CASSIDY WELLMAN PATEL PA-C
Physician Assistant
1111 TENEYCK ST STE 100
JACKSON, MI 49201
Jackson County (517) 205-8940

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 Anissa Peterson's NPI number?

The NPI number for Anissa Peterson is 1093434870. It was assigned to this individual provider in the NPPES registry on August 24, 2022. The provider is also known as Anissa Martinez Pa-C.

Where is Anissa Peterson located?

Anissa Peterson practices at 1111 Teneyck St Ste 100, Jackson, MI 49201. The listed phone number is (517) 205-8940.

What is Anissa Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anissa Peterson enrolled in Medicare?

Yes. Anissa 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.

What insurance does Anissa Peterson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Anissa 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.

Is Anissa Peterson affiliated with any hospitals?

According to CMS data, Anissa Peterson is affiliated with Bronson Methodist Hospital, Bronson Battle Creek Hospital and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Anissa Peterson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.