MRS. MENDY MARIE PETERSON PA-C
NPI 1205834173
Physician Assistant in Omaha, NE
About Mrs. Mendy Marie Peterson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MENDY MARIE PETERSON PA-C (NPI 1205834173) is an individual physician assistant in Omaha, Nebraska, licensed in Nebraska (1874) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mrs. Mendy Marie 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OMAHA, NE 68130
OMAHA, NE 68130
OMAHA, NE 68130
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 Mendy Peterson's NPI number?
The NPI number for Mendy Peterson is 1205834173. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Mendy Peterson located?
Mendy Peterson practices at 17030 Lakeside Hills Plz Suite 102, Omaha, NE 68130. The listed phone number is (402) 758-5800.
What is Mendy Peterson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Mendy Peterson enrolled in Medicare?
Yes. Mendy 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.
When was this NPI record last updated?
The NPPES record for Mendy Peterson was last updated on July 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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. Mendy Marie Peterson, PA-C · NPI 1205834173
Physician Assistant physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1205834173 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1874 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 17030 LAKESIDE HILLS PLZ, SUITE 102, Omaha, NE 68130-2396
- **Phone:** (402) 758-5800 · **Fax:** (402) 758-5809
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 25, 2016
- **Other identifiers:** Medicare PIN 099928065 (NE); Medicare PIN 098684627 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1205834173) · Data from the CMS NPPES public registry.