1. Home
  2. Directory
  3. South Dakota
  4. Rapid City
  5. Physician Assistant
  6. NPI Profile

CASSIDY PETERSON PA-C
NPI 1356808034
Physician Assistant in Rapid City, SD

Active since February 28, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4150 5TH ST, RAPID CITY, SD 57701(605) 755-6000 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Feb 28, 2019 (2 updates tracked since 2019).

About Cassidy Peterson Pa-c NPPES

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

CASSIDY PETERSON PA-C (NPI 1356808034) is an individual physician assistant in Rapid City, South Dakota and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356808034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASSIDY PETERSONCredential: PA-C
Location Address4150 5TH STRapid City, SD 57701-6022
Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375 · (605) 690-6592
Phone(605) 755-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 28, 2019
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1356808034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
4150 5TH ST, Rapid City, SD 57701
Open in Google Maps ↗

Other Names 1

Former Name (1)Cassidy Kotelman Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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

Cassidy 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 ID9133460355
PECOS Enrollment IDI20190416000960
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.

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Same Day Surgery Center LLC

Acute Care Hospitals · Rapid City, SD
OwnershipProprietary
CMS Certification Number430093
Location651 Cathedral DriveRapid City, SD 57701 · Pennington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

REBECCA BIERLE
Nurse Practitioner
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300
KIMBERLY ERIN HAYDEN PA-C
Physician Assistant
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300
DR. KENDRA LEIGH AHRENS JOSWIAK DNP, CNP, FNP-C
Nurse Practitioner (Family)
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300
MR. MATTHEW GROSS CNP
Nurse Practitioner (Family)
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300
NICHOLAS HOLLENBECK CNP
Nurse Practitioner (Family)
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300
CARDIOLOGY ASSOCIATES, P.C.
Internal Medicine (Cardiovascular Disease)
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 399-4300
KELSEY MADISON MAYER CNP
Nurse Practitioner (Family)
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-5340
SAMANTHA SPEED DNP
Nurse Practitioner
4150 5TH ST
RAPID CITY, SD 57701
Meade County (605) 755-4300

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 Cassidy Peterson's NPI number?

The NPI number for Cassidy Peterson is 1356808034. It was assigned to this individual provider in the NPPES registry on February 28, 2019. The provider is also known as Cassidy Kotelman Pa-C.

Where is Cassidy Peterson located?

Cassidy Peterson practices at 4150 5th St, Rapid City, SD 57701. The listed phone number is (605) 755-6000.

What is Cassidy Peterson's specialty?

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

Is Cassidy Peterson enrolled in Medicare?

Yes. Cassidy 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 Cassidy Peterson accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Cassidy 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.

Is Cassidy Peterson affiliated with any hospitals?

According to CMS data, Cassidy Peterson is affiliated with Monument Health Rapid City Hospital and Same Day Surgery Center LLC.

When was this NPI record last updated?

The NPPES record for Cassidy Peterson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.