Lisa M Peterson, PA-C - Medicare Physician Assistant in Williston, ND

Lisa M Peterson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Williston, North Dakota. She graduated from nursing school in 2007 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Great Plains Women's Health Center Pc and her current practice location is 1500 14th St W Ste 300, Williston, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 774-7500.

Lisa M Peterson is licensed to practice in North Dakota (license number PAC0377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619156411.

Contact Information

Lisa M Peterson, PA-C
1500 14th St W Ste 300,
Williston, ND 58801-4079
(701) 774-7500
(701) 774-3918

Map and Direction




Provider's Profile

Full NameLisa M Peterson
GenderFemale
SpecialityPhysician Assistant
Experience15 Years
Location1500 14th St W Ste 300, Williston, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa M Peterson graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1619156411
  • Provider Enumeration Date: 10/29/2007
  • Last Update Date: 06/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4789773409
  • Enrollment ID: I20071204000209

Medical Identifiers

Medical identifiers for Lisa M Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619156411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PAC0377 (North Dakota)Secondary
363AS0400XPhysician Assistant - Surgical PAC0377 (North Dakota)Primary

Hospital Affiliation

Hospital NameLocationType
Chi St Alexius Health WillistonWilliston, NDCritical Access Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Plains Women's Health Center Pc34765579847

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa M Peterson, PA-C
1500 14th St W Ste 300,
Williston, ND 58801-4079

Ph: (701) 774-7500
Lisa M Peterson, PA-C
1500 14th St W Ste 300,
Williston, ND 58801-4079

Ph: (701) 774-7500

Reviews and Comments


Physician Assistant Nurses in Williston, ND

Kynzie Oliver, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    
Carley Hennessy,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1700 11th St W, Williston, ND 58801
Phone: 701-774-7687    
Mrs. Melissa Sue Gilbertson, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    
Mr. Chad R Bowen, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3 4th St E, Williston, ND 58801
Phone: 701-577-6337    
Mrs. Chelsea Wood Faust, P.A.C.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1213 15th Ave W Ste 120, Williston, ND 58801
Phone: 701-234-8860    Fax: 701-800-5533
Carissa Annette Niederhauser, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1301 15th Ave W, Williston, ND 58801
Phone: 701-774-7400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.