ALISA L PETERSON LICSW
NPI 1821589219
Social Worker - Clinical in Yakima, WA
About Alisa L Peterson Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISA L PETERSON LICSW (NPI 1821589219) is an individual clinical provider in Yakima, Washington, licensed in Washington (LW00007445) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alisa L Peterson Licsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Alisa Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ellensburg, WA 98926
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kittitas County Public Hospital Dist 1
- 163 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98902 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
YAKIMA, WA 98902
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 Alisa Peterson's NPI number?
The NPI number for Alisa Peterson is 1821589219. It was assigned to this individual provider in the NPPES registry on May 22, 2018.
Where is Alisa Peterson located?
Alisa Peterson practices at 302 S 10th Ave, Yakima, WA 98902. The listed phone number is (509) 574-3670.
What is Alisa Peterson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Alisa Peterson enrolled in Medicare?
Yes. Alisa 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.
Which organization bills Medicare for Alisa Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Peterson reassigns Medicare benefits to Kittitas County Public Hosp Dist 1 (Ellensburg, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alisa Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alisa Peterson accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Alisa 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.
When was this NPI record last updated?
The NPPES record for Alisa Peterson was last updated on May 22, 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.
# Alisa L Peterson, LICSW · NPI 1821589219
Clinical provider in Yakima, Washington. Individual provider, active in the CMS NPPES registry since May 22, 2018.
## Identity
- **NPI:** 1821589219 (Entity type: Individual)
- **Enumerated:** May 22, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW00007445 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 302 S 10TH AVE, Yakima, WA 98902-3521
- **Phone:** (509) 574-3670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kittitas County Public Hosp Dist 1 (NPI 1376773002, Ellensburg, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** May 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1821589219) · Data from the CMS NPPES public registry.