AARON OSCAR PETERSON (PA STUDENT) – Physician Assistant, NPI 1083211395

AARON OSCAR PETERSON (PA STUDENT) is a healthcare provider. based in Owatonna, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA STUDENT. They hold a License No. 2491 (NE). The NPI Number for AARON OSCAR PETERSON (PA STUDENT) is 1083211395

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
AARON OSCAR PETERSON (PA STUDENT)
NPI
1083211395
Phone
(507) 676-0621
Address
500 CRESTVIEW LN
Enumeration Date
8 October 2020
Last Update Date
8 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3087842261
Graduation Year
2020 (6 years ago)
PAC ID
9638587405
Group Practice PAC ID
6507856697
Professional Enrollment ID
I20210415000437
Address ID
NE691301505CO300XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for AARON OSCAR PETERSON (PA STUDENT)

  • 500 CRESTVIEW LN

    OWATONNA, MN 550602108

    Phone: (507) 676-0621

    Type: Mailing

  • 1819 CAREW ST

    FORT WAYNE, IN 468054705

    Phone: (260) 702-8015

    Type: Location

  • 406 N PACIFIC ST APT 315

    NORTH PLATTE, NE 691013335

    Phone: (507) 676-0621

    Type: Mailing

  • 215 MCNEEL LN

    NORTH PLATTE, NE 691016054

    Phone: (308) 568-3800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $600.

Total Amount is formed as General ($600) + Research ($0) + Ownership ($0) = $600.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($277).

Total Amount

$600

General + Research + Ownership

Payments

10

Total payment records

General Amount

$600

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210415000437IPhysician AssistantNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11396$0
73562X-ray of knee, 3 views3532$0
27447Replacement of knee joint, both sides of knee3028$0
20610Aspiration and/or injection of fluid from large joint2522$0
73030X-ray of shoulder, minimum of 2 views1312$0
View full utilization report →

Insurance plans in this area (ZIP 55060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507856697View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNE
Physical Medicine And RehabilitationNE
U R O L O G YNE
Nurse PractitionerCO
P S Y C H I A T R YIA
P A T H O L O G YNE
Certified Registered Nurse Anesthetist (Crna)CO
Sleep MedicineIA
Physician AssistantNE
Plastic And Reconstructive SurgeryNE

Reviews

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Frequently asked questions

Can I verify AARON OSCAR PETERSON (PA STUDENT) with an NPI only?
You can start verification with NPI 1083211395 for AARON OSCAR PETERSON (PA STUDENT), then check state licensing separately.
Can I rely on AARON OSCAR PETERSON (PA STUDENT) being an active provider?
As of the registry snapshot, AARON OSCAR PETERSON (PA STUDENT) is marked active.
What healthcare role does AARON OSCAR PETERSON (PA STUDENT) hold?
Scheduling teams often label AARON OSCAR PETERSON (PA STUDENT) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does AARON OSCAR PETERSON (PA STUDENT) serve?
AARON OSCAR PETERSON (PA STUDENT)'s listing highlights Owatonna, Minnesota; more addresses can appear in NPPES.
Is the information about AARON OSCAR PETERSON (PA STUDENT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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