Individual provider Active NPI

Peter B. Peifer, PA-C

  • Physician Assistant
  • Globe, AZ
National Provider Identifier
1093719577
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2339 Issued in AZ
Practice address
5880 S Hospital Dr
Globe, AZ 85501-9447
Phone
(928) 425-3247
Fax
(928) 425-3859
NPI assigned
Jun 13, 2005
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2339 AZ Primary

Addresses

Primary practice location

5880 S Hospital Dr
Globe, AZ 85501-9447

Mailing address

5880 S Hospital Dr
Globe, AZ 85501-9447
Phone (928) 425-3247

Other identifiers 1

IdentifierTypeStateIssuer
516552MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20101203000392 AZ Practitioner - Physician Assistant 6305033366 Reassigns benefits to 3 organizations
I20180205000601 TX Practitioner - Physician Assistant 6305033366 Reassigns benefits to 1 organization
I20250722003037 OR Practitioner - Physician Assistant 6305033366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Lutheran CharitiesGroup PAC ID 5294643359, shared by 8 NPIs, 110 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411

535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2339AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Lutheran Charities CurrentSince Jul 14, 2025 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Dec 26, 2017 Accepting new patients
Kingman Healthcare, Inc Family Medicine CurrentSince May 21, 2018 Accepting new patients
Columbia Lutheran Charities CurrentSince Jul 14, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince May 21, 2018 Accepting new patients
Columbia Lutheran Charities Family Medicine Past Accepting new patients

Locations

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075

2265 Exchange St
Fl First
Astoria, OR 97103

1111 N Roosevelt Dr
Ste 210
Seaside, OR 97138
Phone (503) 738-3002

1639 SE Ensign Ln
Ste B103
Warrenton, OR 97146
Phone (503) 338-4500

Interoperability endpoints

  • Direct secure messaging: peter.peiferpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1093719577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "928-425-3247",
            "fax_number": "928-425-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019447",
            "telephone_number": "928-425-3247",
            "fax_number": "928-425-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIFER",
        "first_name": "PETER",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "516552",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.