CLAIRESSA ELAINE PETERSEN
NPI 1861182636
Physician Assistant in Saint Paul, MN

Q: What is Clairessa Petersen's NPI number?

The NPI number for Clairessa Petersen is 1861182636. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Clairessa Petersen's specialty?

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

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment

333 SMITH AVE N, SAINT PAUL, MN 55102(612) 439-1860 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, May 15, 2023 (2 updates tracked since 2023).

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About Clairessa Elaine Petersen NPPES

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

CLAIRESSA ELAINE PETERSEN (NPI 1861182636) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (15529) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861182636

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCLAIRESSA ELAINE PETERSEN

Location Address333 SMITH AVE NSaint Paul, MN 55102-2344

Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279

Phone(612) 439-1860

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 15, 2023

Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration

NPPES CertifiedDecember 8, 2025

✔ NPI 1861182636 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 · 15529

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.

333 SMITH AVE N, Saint Paul, MN 55102

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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

Clairessa Elaine Petersen 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 ID4486136363

PECOS Enrollment IDI20260302001140

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.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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.

ROBERT A LAMPPA CRNA

Nurse Anesthetist, Certified Registered

333 SMITH AVE N
ST PAUL, MN 55102

Ramsey County (651) 735-0501

DALE H MCHUGH CRNA

Nurse Anesthetist, Certified Registered