JARED M. PETERSEN DO
NPI 1285327841
Family Medicine in Kennewick, WA
About Jared M. Petersen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JARED M. PETERSEN DO (NPI 1285327841) is an individual family medicine provider in Kennewick, Washington, licensed in Washington (DO.OP.70107140) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jared M. Petersen Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Jared Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kennewick, WA 99337
- Reassigned Medicare billing, Washington enrollment
- 454 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kadlec Regional Medical Center
Acute Care Hospitals · Richland, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99337 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENNEWICK, WA 99337
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 Jared Petersen's NPI number?
The NPI number for Jared Petersen is 1285327841. It was assigned to this individual provider in the NPPES registry on May 31, 2023.
Where is Jared Petersen located?
Jared Petersen practices at 3900 S Zintel Way Ste 110, Kennewick, WA 99337. The listed phone number is (509) 942-3125.
What is Jared Petersen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jared Petersen enrolled in Medicare?
Yes. Jared 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.
Which organization bills Medicare for Jared Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jared Petersen reassigns Medicare benefits to Kadlec Regional Medical Center (Kennewick, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jared Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jared Petersen accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jared 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 Jared Petersen affiliated with any hospitals?
According to CMS data, Jared Petersen is affiliated with Kadlec Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jared Petersen was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jared M. Petersen, DO · NPI 1285327841
Family Medicine physician in Kennewick, Washington. Individual provider, active in the CMS NPPES registry since May 31, 2023.
## Identity
- **NPI:** 1285327841 (Entity type: Individual)
- **Enumerated:** May 31, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO.OP.70107140 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 S ZINTEL WAY STE 110, Kennewick, WA 99337-5044
- **Phone:** (509) 942-3125 · **Fax:** (509) 585-8173
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kadlec Regional Medical Center (NPI 1063967933, Kennewick, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Pikeville, Kentucky College Of Osteopathic Med, class of 2023
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285327841) · Data from the CMS NPPES public registry.