Laurie Lee Peterson, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3166 Issued in AZ

Practice address

603 W Baseline Rd Ste 200
Mesa, AZ 85210-6047

Phone

(480) 461-1088

Fax

(480) 461-1657

NPI assigned

Apr 3, 2006

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Digestive Health PCGroup PAC ID 6507940731, 134 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.75 of 100Reported as group

Quality

60.45

Promoting interoperability

97

Improvement activities

40

Cost

81.21

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Arizona Digestive Health, PC

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1992981583
  Medicare reassignment Care Compare group
• Mesa Gastrointestinal Assoc PC

  • Gastroenterology Physician
  • Mesa, AZ
  • NPI 1821295502
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205898715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E CAMELBACK RD STE 301",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164418",
            "telephone_number": "602-264-9100",
            "fax_number": "602-264-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 W BASELINE RD STE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106047",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 S Dobson Rd",
            "address_2": "ste 302",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024725",
            "country_code": "US",
            "telephone_number": "480-461-1088 x105",
            "fax_number": "480-461-1657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21321 E Ocotillo Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425994",
            "country_code": "US",
            "telephone_number": "480-461-1088",
            "fax_number": "480-461-1657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAURIE",
        "middle_name": "LEE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mesagi@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Arizona Digestive Health, PC",
            "address_1": "603 W Baseline Rd Ste 200",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852106047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Smith Peterson, M.D.
• Denise Peterson, LIAC
• Eric Peterson
• Kelsey Peterson, LMSW
• Lana J. Peterson, PMHNP
• Lesilie A Peterson, RDH
• Lindsey Peterson, RBT
• Robert Peterson, M.D.
• Sheryl L Peterson, CPNP
• Stephen Lynn Peterson II

• Medical Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.