Individual provider Active NPI

Mark Peterson, PA-C

  • Medical Physician Assistant
  • Rockingham, VA
National Provider Identifier
1043957327
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on May 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221028002162 VA Practitioner - Physician Assistant 1254708555 Reassigns benefits to 1 organization

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
RMH Medical Group LLCGroup PAC ID 7618270729, 254 clinicians

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 Hospital, Harrisonburg, VA, CCN 490004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Aug 29, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.