DR. PETER M MIKKELSEN M.D.
NPI 1790745792
Emergency Medicine in Pullman, WA

Q: What is Peter Mikkelsen's NPI number?

The NPI number for Peter Mikkelsen is 1790745792. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Peter Mikkelsen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Mikkelsen was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment

835 SE BISHOP BLVD, PULLMAN, WA 99163(509) 336-7388(509) 336-7389 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Peter M Mikkelsen M.d. NPPES

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

DR. PETER M MIKKELSEN M.D. (NPI 1790745792) is an individual emergency medicine provider in Pullman, Washington, licensed in Washington (MD00042890) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Pullman Regional Hospital, and is a graduate of University Of North Dakota School Of Medicine (1996).

NPPES Registry Identity

NPI1790745792

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. PETER M MIKKELSENCredential: M.D.

Location Address835 SE BISHOP BLVDPullman, WA 99163-5512

Mailing Address835 Se Bishop BlvdPullman, WA 99163-5512 · (509) 336-7388 · Fax (509) 336-7389

Phone(509) 336-7388

Fax(509) 336-7389

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1996

Enumeration DateMarch 24, 2006

Last NPPES UpdateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1790745792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · MD00042890

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

835 SE BISHOP BLVD, Pullman, WA 99163

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Other Identifiers 3

Medicaid1790745792WA

Medicaid1019013WA

Medicaid500601704OR

Accepted Insurance

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

Dr. Peter M Mikkelsen M.d. 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 ID840197299

PECOS Enrollment IDI20031215000755

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.

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501331

Location835 S Bishop BlvdPullman, WA 99163 · Whitman County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 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 20

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

RACHEL C SILVA-BISCHOFF RN

Registered Nurse