THERESA MARIE PETER PA-C
NPI 1306460076
Physician Assistant in Montrose, MI

Q: What is Theresa Peter's NPI number?

The NPI number for Theresa Peter is 1306460076. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Q: What is Theresa Peter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Peter was last updated on March 2, 2024. 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.

Active since May 29, 2020PECOS Enrolled

190 E STATE ST, MONTROSE, MI 48457(810) 639-2056 Get Directions Write a Review

NPPES record last updated: March 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2020, May 29, 2020 (2 updates tracked since 2020).

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About Theresa Marie Peter Pa-c NPPES

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

THERESA MARIE PETER PA-C (NPI 1306460076) is an individual physician assistant in Montrose, Michigan, licensed in Michigan (5601009931) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306460076

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTHERESA MARIE PETERCredential: PA-C

Location Address190 E STATE STMontrose, MI 48457-9144

Mailing Address190 E State StMontrose, MI 48457-9144 · (810) 639-2056

Phone(810) 639-2056

Sole ProprietorNo

Enumeration DateMay 29, 2020

Last NPPES UpdateMarch 2, 20242 updates tracked since enumeration

NPPES CertifiedMarch 2, 2024

✔ NPI 1306460076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601009931

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

190 E STATE ST, Montrose, MI 48457

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Secondary Practice Locations 3

Location 18434 N Saginaw RdMount Morris, MI 48458-1190 · Phone (810) 686-1997

Location 2401 S Ballenger HwyFlint, MI 48532-3638 · Phone (810) 342-2000

Location 31227 Summit StLapeer, MI 48446-3919 · Phone (810) 969-4546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Marie Peter Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA NOLAN MSN, APRN, FNP-C

Nurse Practitioner (Family)