ANDREW PETERSEN PA-C
NPI 1316346307
Physician Assistant in Mankato, MN

Q: What is Andrew Petersen's NPI number?

The NPI number for Andrew Petersen is 1316346307. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Q: What is Andrew Petersen'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 Andrew Petersen was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 15, 2014PECOS Enrolled

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Jul 10, 2018, Jun 26, 2018 (3 updates tracked since 2018).

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About Andrew Petersen Pa-c NPPES

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

ANDREW PETERSEN PA-C (NPI 1316346307) is an individual physician assistant in Mankato, Minnesota, licensed in Minnesota (11969) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1316346307

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANDREW PETERSENCredential: PA-C

Location Address1025 MARSH STMankato, MN 56001

Mailing Address1025 Marsh StMankato, MN 56001-4752 · (507) 625-4031

Phone(507) 625-4031

Sole ProprietorNo

Enumeration DateAugust 15, 2014

Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2020

✔ NPI 1316346307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MN · 11969✔ Licensed in IA · 074607

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.

1025 MARSH ST, Mankato, MN 56001

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Secondary Practice Location 1

Location 1700 E University AveDes Moines, IA 50316-2302 · Phone (515) 263-5120 · Fax (515) 263-5164

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Petersen 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 56001 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 20

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

KRISTIN MARIE CLIFFORD CNP

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