ELIZABETH A PETERSON (PA) – Physician Assistant, NPI 1932872686
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for ELIZABETH A PETERSON (PA)
699 SIERRA ROSE DR STE A&B
RENO, NV 895112369
Phone: (775) 204-4000
Type: Mailing
805 E MAIN ST
FERNLEY, NV 894089743
Phone: (775) 204-4000
Type: Location
3980 Lake Placid Dr Ste 2
Reno, NV 895116702
Phone: (775) 470-8260
Type: Location
PO BOX 1340
OKANOGAN, WA 988401340
Phone: (509) 422-5700
Type: Mailing
1003 KOALA DR
OMAK, WA 988419247
Phone: (509) 422-5700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Lilly USA, LLC ($22).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $22 |
| Merck Sharp & Dohme LLC | $14 |
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: 2024-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231122002730 | I | Physician Assistant | NV | TBD |
| I20240430003818 | I | Physician Assistant | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89511)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Family Practice | NV | |
| Family Practice | NV | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | NV | |
| Family Practice | MN | |
| Family Practice | NV | |
| Family Practice | NV | |
| Physician Assistant | NV |
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