1. Home
  2. Directory
  3. Minnesota
  4. Edina
  5. Physician Assistant
  6. NPI Profile

KAITLIN ROSE PETERSON PA-C
NPI 1730673757
Physician Assistant in Edina, MN

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
4010 W 65TH ST, EDINA, MN 55435(962) 456-7000(952) 456-7001 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2018, Jun 22, 2018 (2 updates tracked since 2018).

About Kaitlin Rose Peterson Pa-c NPPES

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

KAITLIN ROSE PETERSON PA-C (NPI 1730673757) is an individual physician assistant in Edina, Minnesota, licensed in Minnesota (12759) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730673757
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLIN ROSE PETERSONCredential: PA-C
Location Address4010 W 65TH STEdina, MN 55435
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (763) 520-7870 · Fax (763) 520-7580
Phone(962) 456-7000
Fax(952) 456-7001
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateAugust 3, 20182 updates tracked since enumeration
✔ NPI 1730673757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 12759
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.
4010 W 65TH ST, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Kaitlin Rose 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 ID7810247061
PECOS Enrollment IDI20180910000124
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
120 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services24 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
33 services24 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
14 services11 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
13 services13 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

DAVID BLOOMQUIST ATC
Specialist/Technologist (Athletic Trainer)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (320) 212-3992
AMBER DEGRAFF
Occupational Therapist (Pediatrics)
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
ANNE R ANDERSON RNFA
Registered Nurse (Registered Nurse First Assistant)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
KELLEY F GROTTING CNP
Nurse Practitioner
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
DR. BRIAN PETER BJERKE M.D.
Orthopaedic Surgery
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
MRS. KAITLYN M SOLDAN PA-C, ATC
Physician Assistant
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000
CATHERINE FENLASON SLP
Speech-Language Pathologist
4010 W 65TH ST, SUITE 105
EDINA, MN 55435
Hennepin County (952) 285-2840
DOUGLAS ALBERT DRAKE M.D.
Orthopaedic Surgery (Hand Surgery)
4010 W 65TH ST
EDINA, MN 55435
Hennepin County (952) 456-7000

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 Kaitlin Peterson's NPI number?

The NPI number for Kaitlin Peterson is 1730673757. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Kaitlin Peterson located?

Kaitlin Peterson practices at 4010 W 65th St, Edina, MN 55435. The listed phone number is (962) 456-7000.

What is Kaitlin Peterson's specialty?

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

Is Kaitlin Peterson enrolled in Medicare?

Yes. Kaitlin 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 Kaitlin Peterson accept?

Health plans from HealthPartners and Medica list Kaitlin 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 Kaitlin Peterson affiliated with any hospitals?

According to CMS data, Kaitlin Peterson is affiliated with Ridgeview Medical Center and M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Kaitlin Peterson was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.