LEAH PETERSON PA-C
NPI 1154556942
Physician Assistant - Medical in Lino Lakes, MN

Q: What is Leah Peterson's NPI number?

The NPI number for Leah Peterson is 1154556942. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Q: What is Leah Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Leah Peterson was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment

7455 VILLAGE DR, LINO LAKES, MN 55014(651) 717-3400 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Leah Peterson Pa-c NPPES

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

LEAH PETERSON PA-C (NPI 1154556942) is an individual medical provider in Lino Lakes, Minnesota, licensed in Minnesota (10594) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154556942

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLEAH PETERSONCredential: PA-C

Location Address7455 VILLAGE DRLino Lakes, MN 55014-1181

Mailing Address1002 Lantern LnLino Lakes, MN 55014-1335

Phone(651) 717-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 21, 2009

Last NPPES UpdateJune 16, 2010

✔ NPI 1154556942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MN · 10594

7455 VILLAGE DR, Lino Lakes, MN 55014

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Leah 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 ID4486707536

PECOS Enrollment IDI20090806000498

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.

59 services42 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.

52 services40 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.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

TARA MARIE COLE

Family Medicine