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KERRY G PETERSON ARNP, FNP-C
NPI 1790109825
Nurse Practitioner - Family in Elma, WA

Active since February 10, 2014PECOS EnrolledAccepts Medicare Assignment
106 N 1ST ST, ELMA, WA 98541(360) 482-2851(844) 315-8272 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kerry G Peterson Arnp, Fnp-c NPPES

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

KERRY G PETERSON ARNP, FNP-C (NPI 1790109825) is an individual family provider in Elma, Washington, licensed in Washington (AP60443753) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Grays Harbor Community Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790109825
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRY G PETERSONCredential: ARNP, FNP-C
Location Address106 N 1ST STElma, WA 98541
Mailing AddressP.o. Box 803Elma, WA 98541 · (360) 482-2851 · Fax (844) 315-8572
Phone(360) 482-2851
Fax(844) 315-8272
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 10, 2014
Last NPPES UpdateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1790109825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP60443753
106 N 1ST ST, Elma, WA 98541
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Kerry G Peterson Arnp, Fnp-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 ID345465332
PECOS Enrollment IDI20140708000380
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 2

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.
99 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Grays Harbor Community Hospital

Acute Care Hospitals · Aberdeen, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500031
Location915 Anderson DriveAberdeen, WA 98520 · Grays Harbor County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98541 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.56 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$42.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kerry Peterson's NPI number?

The NPI number for Kerry Peterson is 1790109825. It was assigned to this individual provider in the NPPES registry on February 10, 2014.

Where is Kerry Peterson located?

Kerry Peterson practices at 106 N 1st St, Elma, WA 98541. The listed phone number is (360) 482-2851.

What is Kerry Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kerry Peterson enrolled in Medicare?

Yes. Kerry 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 Kerry Peterson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kerry 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 Kerry Peterson affiliated with any hospitals?

According to CMS data, Kerry Peterson is affiliated with Grays Harbor Community Hospital and Summit Pacific Medical Center.

When was this NPI record last updated?

The NPPES record for Kerry Peterson was last updated on August 15, 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.