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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALYSSA PETERSON PA-C
NPI 1336903954
Physician Assistant - Medical in Portland, OR

Active since February 13, 2024PECOS EnrolledAccepts Medicare Assignment
1350 NE 122ND AVE STE 200, PORTLAND, OR 97230(503) 408-7008(503) 408-7045 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyssa Peterson Pa-c NPPES

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

ALYSSA PETERSON PA-C (NPI 1336903954) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA219368) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eugene, and is a graduate of University Of Pittsburgh School Of Medicine (2023).

NPPES Registry Identity

NPI1336903954
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALYSSA PETERSONCredential: PA-C
Location Address1350 NE 122ND AVE STE 200Portland, OR 97230-2011
Mailing Address1350 Ne 122nd AvePortland, OR 97230-2011
Phone(503) 408-7008
Fax(503) 408-7045
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2023
Enumeration DateFebruary 13, 2024
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1336903954 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 OR · PA219368
1350 NE 122ND AVE STE 200, Portland, OR 97230
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Coburg RdEugene, OR 97401-4995 · Phone (541) 345-8760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Alyssa Peterson 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 ID3577909340
PECOS Enrollment IDI20240314003656
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 6

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.
88 services84 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.
79 services79 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services19 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
16 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services15 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services12 patients

Other Providers at the Same Location NPPES 2

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

IMELDA C KELLY MD
Family Medicine
1350 NE 122ND AVE STE 200
PORTLAND, OR 97230
Multnomah County (503) 408-7008
KAREN L KOSTENKO PA-C
Physician Assistant
1350 NE 122ND AVE STE 200
PORTLAND, OR 97230
Multnomah County (503) 408-7008

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 Alyssa Peterson's NPI number?

The NPI number for Alyssa Peterson is 1336903954. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Alyssa Peterson located?

Alyssa Peterson practices at 1350 NE 122nd Ave Ste 200, Portland, OR 97230. The listed phone number is (503) 408-7008.

What is Alyssa Peterson's specialty?

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

Is Alyssa Peterson enrolled in Medicare?

Yes. Alyssa 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 Alyssa Peterson accept?

Health plans from Moda Health Plan, Inc. list Alyssa 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 Alyssa Peterson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.