Kerry G Peterson (NPI# 1790109825, PAC ID# 0345465332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790109825 |
| PAC ID by PECOS | 0345465332 |
| Professional Enrollment ID | I20140708000380 |
| Full Name | Kerry G Peterson |
| Address |
106 N 1st St Elma WA 98541 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501304 | SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT |
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 106 N 1st St, Elma, WA 98541 |
| Street Address |
106 N 1ST ST |
| City | ELMA |
| State | WA |
| Zip | 98541 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Peterson | Chiropractic | 103 N 1st St, Elma, WA 98541 | |
| Ivan J Reveron | Family Medicine | Sea-mar Community Health Center | 515 W Main St, Elma, WA 98541-9285 |
| Kenneth W Mcelroy | Physician Assistant | 11 Schouweiler Rd, Elma, WA 98541-9306 | |
| Brian Martyn Lear | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Amy B Graham | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Kaylyn Wayman | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Mary Ellen Biggerstaff | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Belinda Lear | Family Medicine | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Rebecca M Bodle-shingu | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Bonnie J Mcreynolds | Nurse Practitioner | Grays Harbor County Public Hospital District No. 1 | 610 E Main St, Elma, WA 98541-9353 |
| Find all physicians in zip 98541 | |||
| City | ELMA |
| Zip Code | 98541 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELMA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kerry G Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.