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LISA M PETERSON PA-C
NPI 1619156411
Physician Assistant - Surgical in Williston, ND

Active since October 29, 2007PECOS EnrolledAccepts Medicare Assignment
1500 14TH ST W STE 300, WILLISTON, ND 58801(701) 774-7500(701) 774-3918 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jun 14, 2017 (2 updates tracked since 2017).

About Lisa M Peterson Pa-c NPPES

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

LISA M PETERSON PA-C (NPI 1619156411) is an individual surgical provider in Williston, North Dakota, licensed in North Dakota (PAC0377) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619156411
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLISA M PETERSONCredential: PA-C
Location Address1500 14TH ST W STE 300Williston, ND 58801-4079
Mailing Address1500 14th St W Ste 300Williston, ND 58801-4079 · (701) 774-7500 · Fax (701) 774-3918
Phone(701) 774-7500
Fax(701) 774-3918
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 29, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619156411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ND · PAC0377
Also ListedPhysician AssistantTaxonomy 363A00000X · License PAC0377 (ND)
1500 14TH ST W STE 300, Williston, ND 58801
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Other Names 1

Former Name (1)Lisa M. Tofte Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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

Lisa M 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 ID4789773409
PECOS Enrollment IDI20071204000209
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Chi St Alexius Health Williston

Critical Access Hospitals · Williston, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351334
Location1301 15th Ave WWilliston, ND 58801 · Williams County
Emergency services Birthing friendly

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.

APRIL HAUGROSE NP
Nurse Practitioner
1500 14TH ST W STE 300
WILLISTON, ND 58801
Williams County (701) 774-7500
DR. TESSA MARBURGER M.D.
Psychiatry & Neurology (Neurology)
1500 14TH ST W STE 300
WILLISTON, ND 58801
Williams County (701) 774-7500

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 Lisa Peterson's NPI number?

The NPI number for Lisa Peterson is 1619156411. It was assigned to this individual provider in the NPPES registry on October 29, 2007. The provider is also known as Lisa M. Tofte Pa-C.

Where is Lisa Peterson located?

Lisa Peterson practices at 1500 14th St W Ste 300, Williston, ND 58801. The listed phone number is (701) 774-7500.

What is Lisa Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lisa Peterson enrolled in Medicare?

Yes. Lisa 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 Lisa Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Lisa 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 Lisa Peterson affiliated with any hospitals?

According to CMS data, Lisa Peterson is affiliated with Sanford Medical Center Bismarck and Chi St Alexius Health Williston.

When was this NPI record last updated?

The NPPES record for Lisa Peterson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.