MRS. KELSEY ROSE PETERSON PA-C
NPI 1902144983
Physician Assistant in Redmond, OR

Active since January 25, 2013PECOS EnrolledAccepts Medicare Assignment
1315 NW 4TH ST STE A, REDMOND, OR 97756(541) 548-7761(541) 598-3485 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2020, Jun 27, 2017, Jun 12, 2017 and 1 more (4 updates tracked since 2016).

About Mrs. Kelsey Rose Peterson Pa-c NPPES

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

MRS. KELSEY ROSE PETERSON PA-C (NPI 1902144983) is an individual physician assistant in Redmond, Oregon, licensed in Oregon (PA164169) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Medford.

NPPES Registry Identity

NPI1902144983
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KELSEY ROSE PETERSONCredential: PA-C
Location Address1315 NW 4TH ST STE ARedmond, OR 97756-1328
Mailing Address520 Medical Center Dr, Ste 300Medford, OR 97504-4316 · (541) 930-8907 · Fax (541) 245-4820
Fax(541) 598-3485
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 25, 2013
Last NPPES UpdateOctober 17, 20254 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1902144983 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 OR · PA164169
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.

1315 NW 4TH ST STE A, Redmond, OR 97756

Other Names 1

Former Name (1)Ms. Kelsey Rose Young Pa-c

Secondary Practice Location 1

Location 1520 Medical Center Dr, Suite 300Medford, OR 97504-4334 · Phone (541) 282-6559 · Fax (541) 282-6710

Other Identifiers 1

Medicaid500670083OR

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

Mrs. Kelsey Rose Peterson 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.

PECOS PAC ID3577708718
PECOS Enrollment IDI20140410001279
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

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$17.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$88.51 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Colon & Rectal Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Medical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Surgical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756
Physician Assistant (Surgical)
1315 NW 4TH ST STE A
REDMOND, OR 97756
Surgery
1315 NW 4TH ST STE A
REDMOND, OR 97756

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 Kelsey Peterson's NPI number?

The NPI number for Kelsey Peterson is 1902144983. It was assigned to this individual provider in the NPPES registry on January 25, 2013. The provider is also known as Ms. Kelsey Rose Young Pa-C.

Where is Kelsey Peterson located?

Kelsey Peterson practices at 1315 NW 4th St Ste A, Redmond, OR 97756. The listed phone number is (541) 548-7761.

What is Kelsey Peterson's specialty?

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

Is Kelsey Peterson enrolled in Medicare?

Yes. Kelsey 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 Kelsey Peterson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelsey 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 Kelsey Peterson affiliated with any hospitals?

According to CMS data, Kelsey Peterson is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Kelsey Peterson was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.