Active NPI
Mark Peterson, PA-C
- Medical Physician Assistant
- Rockingham, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1441 Natural Spring LN
Rockingham, VA 22801-2283 - Phone
- (571) 299-7060
- NPI assigned
- May 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1441 Natural Spring LN
Rockingham, VA 22801-2283
Mailing address
1441 Natural Spring LN
Rockingham, VA 22801-2283
Phone (571) 299-7060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
136 W Elizabeth St
Harrisonburg, VA 22802-3811
1931 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 564-5400
2006 Health Campus Dr
Rockingham, VA 22801-8679
2008 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-7000
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110
Hospital & facility affiliations
- Sentara RMH Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RMH Medical Group LLC | Current | Accepting new patients | |
| Rockingham Memorial Hospital | Past | Accepting new patients |
Locations
1931 Medical Ave
Harrisonburg, VA 22801
Phone (540) 564-5400
136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Rockingham, VA
- NPI 1669844908
-
- Customized Equipment (DME)
- Harrisonburg, VA
- NPI 1043238967
-
- Durable Medical Equipment & Medical Supplies
- Elkton, VA
- NPI 1952563827
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisonburg, VA
- NPI 1780694372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1043957327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NATURAL SPRING LN",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228012283",
"telephone_number": "571-299-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 NATURAL SPRING LN",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228012283",
"telephone_number": "571-299-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "MARK",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-17",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockingham, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.