DR. AARON PETERSEN (MD) – Emergency Medicine Physician, NPI 1669614418

DR. AARON PETERSEN (MD) is a healthcare provider. based in Newport, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD 60593091 (WA). The NPI Number for DR. AARON PETERSEN (MD) is 1669614418

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. AARON PETERSEN (MD)
NPI
1669614418
Phone
(509) 447-2441
Address
714 W PINE ST
Enumeration Date
25 March 2009
Last Update Date
14 November 2019

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
5094472441
Graduation Year
2006 (20 years ago)
PAC ID
3476709262
Group Practice PAC ID
3274431184
Professional Enrollment ID
I20160519001284
Address ID
WA991569046NE714XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. AARON PETERSEN (MD)

  • Newport Hospital & Health Services, 714, Pine Street, Newport, Pend Oreille County, Washington, 99156, United States

    NEWPORT, WA 991569046

    Phone: (509) 447-2441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-05-19

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
I20160519001284IFamily PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99156)

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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: 3274431184View full group profile
NameSpecialtyState
-WA
Physician AssistantWA
Family Practice, Emergency MedicineWA
Family PracticeWA
Physician AssistantWA
Clinical Social WorkerWA
Physician AssistantWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Certified Registered Nurse Anesthetist (Crna)NV
Family PracticeCO

Reviews

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Frequently asked questions

What unique ID ties claims to DR. AARON PETERSEN (MD)?
NPI 1669614418 is assigned to DR. AARON PETERSEN (MD) under the national enumeration system.
Does this profile mean DR. AARON PETERSEN (MD) is currently active?
Yes — DR. AARON PETERSEN (MD) appears active in the national provider directory.
Does DR. AARON PETERSEN (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DR. AARON PETERSEN (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. AARON PETERSEN (MD)?
We surface Newport, Washington for DR. AARON PETERSEN (MD) based on available NPPES addresses.
How can I contact DR. AARON PETERSEN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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