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TREY SPENCER PETERSEN PA-C
NPI 1659198281
Physician Assistant in Moses Lake, WA

Active since September 24, 2024PECOS EnrolledAccepts Medicare Assignment
605 S COOLIDGE ST, MOSES LAKE, WA 98837(509) 765-0674 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Trey Spencer Petersen Pa-c NPPES

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

TREY SPENCER PETERSEN PA-C (NPI 1659198281) is an individual physician assistant in Moses Lake, Washington and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659198281
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTREY SPENCER PETERSENCredential: PA-C
Location Address605 S COOLIDGE STMoses Lake, WA 98837-1873
Mailing Address21 H St NeQuincy, WA 98848-1079 · (509) 237-3232
Phone(509) 765-0674
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1659198281 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.
605 S COOLIDGE ST, Moses Lake, WA 98837
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence 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

Trey Spencer Petersen 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 ID9739614835
PECOS Enrollment IDI20241126003709
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

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

Samaritan Hospital

Acute Care Hospitals · Moses Lake, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500033
Location801 East Wheeler RoadMoses Lake, WA 98837 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98837 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

MOSES LAKE COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 764-0674
FRANCIE TROWBRIDGE ARNP
Nurse Practitioner
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. SEAN BARRY COLLETTE D.D.S.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MANUEL FELIPE PRIETO DDS
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
CHLOE NOEL KESTERSON PA-C
Physician Assistant
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
ANDREW PAULLIN JOHNSON D.M.D.
Dentist
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
MATTHEW HARDY M.S., D.O.
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674
DR. MICHEAL RYAN TOLLEY DO
Family Medicine
605 S COOLIDGE ST
MOSES LAKE, WA 98837
Grant County (509) 765-0674

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 Trey Petersen's NPI number?

The NPI number for Trey Petersen is 1659198281. It was assigned to this individual provider in the NPPES registry on September 24, 2024.

Where is Trey Petersen located?

Trey Petersen practices at 605 S Coolidge St, Moses Lake, WA 98837. The listed phone number is (509) 765-0674.

What is Trey Petersen's specialty?

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

Is Trey Petersen enrolled in Medicare?

Yes. Trey Petersen 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 Trey Petersen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Trey Petersen 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 Trey Petersen affiliated with any hospitals?

According to CMS data, Trey Petersen is affiliated with Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Trey Petersen was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.