1. Home
  2. Directory
  3. Washington
  4. Yakima
  5. Physician Assistant
  6. NPI Profile

JAMES MATHEW PETERSEN PA-C
NPI 1275022964
Physician Assistant - Medical in Yakima, WA

Active since May 08, 2018PECOS EnrolledAccepts Medicare Assignment
61.45/100
CMS Quality Rating

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2023, May 8, 2018 (2 updates tracked since 2018).

About James Mathew Petersen Pa-c NPPES

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

JAMES MATHEW PETERSEN PA-C (NPI 1275022964) is an individual medical provider in Yakima, Washington, licensed in Washington (PA60710620) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275022964
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAMES MATHEW PETERSENCredential: PA-C
Location Address12 S 8TH STYakima, WA 98901-3020
Mailing AddressPo Box 2605Yakima, WA 98907-2605 · (509) 454-4143
Phone(509) 454-4143
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 8, 2018
Last NPPES UpdateJanuary 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1275022964 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 WA · PA60710620
12 S 8TH ST, Yakima, WA 98901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

James Mathew Petersen 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 ID8628323607
PECOS Enrollment IDI20180614002087
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 4

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.
155 services132 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.
123 services113 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

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.

61.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.92
Improvement Activities40
Cost31.94

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.

MARIA-ELENA MENDOZA LICSW
Social Worker (Clinical)
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
MARY MARGARET FRANZ RN
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
ASHLEIGH GASKELL RN
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
THOMAS C DAVIDSON CDP
Counselor (Addiction (Substance Use Disorder))
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
DIANA A GODINEZ
Registered Nurse
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
DULCE MARIA MARTINEZ
Counselor
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
LISA REINMUTH RD, CD
Dietitian, Registered
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143
JAMES KENDALL EAKIN ARNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
12 S 8TH ST
YAKIMA, WA 98901
Yakima County (509) 454-4143

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 James Petersen's NPI number?

The NPI number for James Petersen is 1275022964. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is James Petersen located?

James Petersen practices at 12 S 8th St, Yakima, WA 98901. The listed phone number is (509) 454-4143.

What is James Petersen's specialty?

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

Is James Petersen enrolled in Medicare?

Yes. James Petersen 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 James Petersen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list James Petersen 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 James Petersen affiliated with any hospitals?

According to CMS data, James Petersen is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for James Petersen was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.