LAURIE LEE PETERSON P.A.
NPI 1205898715
Physician Assistant - Medical in Mesa, AZ

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
603 W BASELINE RD STE 200, MESA, AZ 85210(480) 461-1088(480) 461-1657 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurie Lee Peterson P.a. NPPES

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

LAURIE LEE PETERSON P.A. (NPI 1205898715) is an individual medical provider in Mesa, Arizona, licensed in Arizona (3166) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205898715
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURIE LEE PETERSONCredential: P.A.
Location Address603 W BASELINE RD STE 200Mesa, AZ 85210-6047
Mailing Address3020 E Camelback Rd Ste 301Phoenix, AZ 85016-4418 · (602) 264-9100 · Fax (602) 264-9101
Fax(480) 461-1657
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 27, 2023
NPI 1205898715 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 AZ · 3166
603 W BASELINE RD STE 200, Mesa, AZ 85210

Accepted 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

Laurie Lee Peterson P.a. 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 ID5799918082
PECOS Enrollment IDI20220506002203
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 2

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 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.
51 services29 patients
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.
39 services25 patients

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Nurse Practitioner (Family)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210
Internal Medicine (Gastroenterology)
603 W BASELINE RD STE 200
MESA, AZ 85210

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 Laurie Peterson's NPI number?

The NPI number for Laurie Peterson is 1205898715. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Laurie Peterson located?

Laurie Peterson practices at 603 W Baseline Rd Ste 200, Mesa, AZ 85210. The listed phone number is (480) 461-1088.

What is Laurie Peterson's specialty?

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

Is Laurie Peterson enrolled in Medicare?

Yes. Laurie 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 Laurie Peterson accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Laurie 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 Laurie Peterson was last updated on November 27, 2023. 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.