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DR. IRIS HAVLINA DONOVAN PETERSEN MD
NPI 1659868560
Pediatrics in Olympia, WA

Active since April 16, 2018PECOS Enrolled
3434 12TH AVE NE, OLYMPIA, WA 98506(360) 413-8470 Get Directions Write a Review

NPPES record last updated: August 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2021, Sep 16, 2019, Apr 16, 2018 (3 updates tracked since 2018).

About Dr. Iris Havlina Donovan Petersen Md NPPES

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

DR. IRIS HAVLINA DONOVAN PETERSEN MD (NPI 1659868560) is an individual pediatrics provider in Olympia, Washington, licensed in Washington (MD61140296) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659868560
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. IRIS HAVLINA DONOVAN PETERSENCredential: MD
Location Address3434 12TH AVE NEOlympia, WA 98506-5175
Mailing Address3434 12th Ave NeOlympia, WA 98506-5175 · (360) 413-8470
Phone(360) 413-8470
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateAugust 8, 20213 updates tracked since enumeration
NPPES CertifiedAugust 8, 2021
✔ NPI 1659868560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · MD61140296✔ Licensed in UT · 11405455-1205
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3434 12TH AVE NE, Olympia, WA 98506
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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 (PECOS)

Dr. Iris Havlina Donovan Petersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 15

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

DR. AMY Z BELKO M.D.
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
DR. BRADFORD DOUGLAS STEPHENS M.D.
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
KATHERINE BERNDT ARNP
Nurse Practitioner (Pediatrics)
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
DR. SETH WEBB DNP PNP
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
RACHEL CAROLYN MORGAN MD
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
DR. ALICE AUDREY EATON MD
Pediatrics
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8364
NILA NORINE WILLIAMSON MPH, RD, CD, IBCLC
Dietitian, Registered (Nutrition, Pediatric)
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470
ERICA SARKIPATO CPNP
Nurse Practitioner (Pediatrics)
3434 12TH AVE NE
OLYMPIA, WA 98506
Thurston County (360) 413-8470

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 Iris Petersen's NPI number?

The NPI number for Iris Petersen is 1659868560. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Iris Petersen located?

Iris Petersen practices at 3434 12th Ave NE, Olympia, WA 98506. The listed phone number is (360) 413-8470.

What is Iris Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Iris Petersen enrolled in Medicare?

Yes. Iris Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Iris Petersen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Iris 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.

When was this NPI record last updated?

The NPPES record for Iris Petersen was last updated on August 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.