NATALIE PETERSON PA-C
NPI 1962973487
Physician Assistant in Detroit, MI

Q: What is Natalie Peterson's NPI number?

The NPI number for Natalie Peterson is 1962973487. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Natalie Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Natalie Peterson was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 10, 2018PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(800) 653-6568(313) 876-1305 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2023, Dec 10, 2018 (2 updates tracked since 2018).

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About Natalie Peterson Pa-c NPPES

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

NATALIE PETERSON PA-C (NPI 1962973487) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601008891) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962973487

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNATALIE PETERSONCredential: PA-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305

Phone(800) 653-6568

Fax(313) 876-1305

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 10, 2018

Last NPPES UpdateApril 5, 20232 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1962973487 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 MI · 5601008891

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.

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Locations 2

Location 169590 Henry Ross DrBruce Twp, MI 48065-4045 · Phone (586) 255-3805

Location 21135 W University Dr Ste 450Rochester, MI 48307-1871 · Phone (248) 650-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.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

Natalie 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 ID3072852789

PECOS Enrollment IDI20190225001026

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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

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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.

HENRY FORD HOSPITAL

General Acute Care Hospital