EATHYN PETERSON DC, ATC
NPI 1376945360
Chiropractor in Peoria, AZ

Active since September 22, 2014Accepts Medicare Assignment
24700 N 67TH AVE, PEORIA, AZ 85383(623) 259-3458 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Sep 4, 2024 (2 updates tracked since 2024).

About Eathyn Peterson Dc, Atc NPPES

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

EATHYN PETERSON DC, ATC (NPI 1376945360) is an individual chiropractor in Peoria, Arizona, licensed in Arizona (9389) and active in the NPI registry since September 2014. He is a graduate of Life Chiropractic College - West (2022).

NPPES Registry Identity

NPI1376945360
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEATHYN PETERSONCredential: DC, ATC
Location Address24700 N 67TH AVEPeoria, AZ 85383-4250
Mailing Address26127 N 121st AvePeoria, AZ 85383-5801 · (406) 925-3844
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2022
Enumeration DateSeptember 22, 2014
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1376945360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 9389
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
24700 N 67TH AVE, Peoria, AZ 85383

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

Eathyn Peterson Dc, Atc 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 ID5991154130
PECOS Enrollment IDI20241014004109

Medicare Billing Reassignments

10

Medicare enrollment records show Eathyn Peterson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
15256 N 75TH AVE, STE 360
Peoria, AZ 85381
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
Physical Medicine & Rehabilitation
14239 W BELL RD STE 108
Surprise, AZ 85374
  • Reassigned Medicare billing, Arizona enrollment
  • 24 clinicians in this Medicare group
Physical Medicine & Rehabilitation
20860 N TATUM BLVD, SUITE 290
Phoenix, AZ 85050
  • Reassigned Medicare billing, Arizona enrollment
  • 26 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2 N CENTRAL AVE STE 120
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 25 clinicians in this Medicare group
Chiropractor
2580 E CAMELBACK RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2145 E WARNER RD, STE 104
Tempe, AZ 85284
  • Reassigned Medicare billing, Arizona enrollment
  • 26 clinicians in this Medicare group
Physical Medicine & Rehabilitation
3130 E BASELINE RD, SUITE 107
Mesa, AZ 85204
  • Reassigned Medicare billing, Arizona enrollment
  • 32 clinicians in this Medicare group
Physical Medicine & Rehabilitation
3011 S LINDSAY RD STE 101
Gilbert, AZ 85295
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
Physical Medicine & Rehabilitation
2919 S ELLSWORTH RD STE 111
Mesa, AZ 85212
  • Reassigned Medicare billing, Arizona enrollment
  • 23 clinicians in this Medicare group
Physical Medicine & Rehabilitation
270 E HUNT HWY STE A-2
San Tan Valley, AZ 85143
  • Reassigned Medicare billing, Arizona enrollment
  • 31 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.

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.

Chiropractor
24700 N 67TH AVE
PEORIA, AZ 85383
Chiropractor
24700 N 67TH AVE
PEORIA, AZ 85383

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 Eathyn Peterson's NPI number?

The NPI number for Eathyn Peterson is 1376945360. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Eathyn Peterson located?

Eathyn Peterson practices at 24700 N 67th Ave, Peoria, AZ 85383. The listed phone number is (623) 259-3458.

What is Eathyn Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Eathyn Peterson enrolled in Medicare?

Yes. Eathyn 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.

Which organizations bill Medicare for Eathyn Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eathyn Peterson reassigns Medicare benefits to 10 organizations: AFC Of Peoria, PLLC (Peoria, AZ), AFC Of Surprise, PLLC (Surprise, AZ), AFC Physical Medicine Of Desert Ridge,pllc (Phoenix, AZ), AFC Of Phoenix, PLLC (Phoenix, AZ), Life Clinic Of Az PC (Phoenix, AZ) and 5 more organizations, listed in the Medicare section above. Each 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 Eathyn Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eathyn Peterson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Providence Health Plan and 1 other insurer list Eathyn 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 Eathyn Peterson was last updated on September 19, 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.