MR. HENRY PETERSEN PA-C
NPI 1891123543
Physician Assistant - Medical in Coeur D Alene, ID
About Mr. Henry Petersen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. HENRY PETERSEN PA-C (NPI 1891123543) is an individual medical provider in Coeur D Alene, Idaho, licensed in Idaho (PA-1146) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Henry Petersen 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDNorthwest Specialty Hospital
Acute Care Hospitals · Post Falls, IDMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
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 Henry Petersen's NPI number?
The NPI number for Henry Petersen is 1891123543. It was assigned to this individual provider in the NPPES registry on October 16, 2013.
Where is Henry Petersen located?
Henry Petersen practices at 700 W Ironwood Dr Ste 320, Coeur D Alene, ID 83814. The listed phone number is (208) 625-5250.
What is Henry Petersen's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Henry Petersen enrolled in Medicare?
Yes. Henry Petersen 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 Henry Petersen accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Henry Petersen 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 Henry Petersen affiliated with any hospitals?
According to CMS data, Henry Petersen is affiliated with Kootenai Health and Northwest Specialty Hospital.
When was this NPI record last updated?
The NPPES record for Henry Petersen was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
