NPIMap

Individual provider Active NPI

Debra Diane Peterson, PAC

  • Medical Physician Assistant
  • Chico, CA
National Provider Identifier
1285725895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15983 Issued in CA
Practice address
185 East 7TH Ave
Suite D
Chico, CA 95926
Phone
(530) 342-7564
Fax
(530) 342-7585
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA15983 CA Primary

Addresses

Primary practice location

185 East 7TH Ave
Suite D
Chico, CA 95926

Mailing address

185 East 7TH Ave
Suite D
Chico, CA 95926
Phone (530) 342-7564

Other identifiers 1

IdentifierTypeStateIssuer
OPA159830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000934 CA Practitioner - Physician Assistant 8729079330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Ranch Primary Care IncGroup PAC ID 4688956634, 11 clinicians

Practice addresses (Care Compare)

114 Mission Ranch Blvd
Suite 10
Chico, CA 95926-5137
Phone (530) 894-0500

Hospital & facility affiliations

  • Butte Home Health and Hospice Home health agency, Chico, CA, CCN 057679
  • Valley View Healthcare Services LLC Home health agency, Chico, CA, CCN 559751
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Seneca District Hospital Hospital, Chester, CA, CCN 051327

Merit-based Incentive Payment System (MIPS)

Final score
95.68 of 100Reported as group
Quality
91.36
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Past Accepting new patients

Organizations & group practices 2

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 7

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285725895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 EAST 7TH AVE",
            "address_2": "SUITE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-342-7564",
            "fax_number": "530-342-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 EAST 7TH AVE",
            "address_2": "SUITE D",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95926",
            "telephone_number": "530-342-7564",
            "fax_number": "530-342-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DEBRA",
        "middle_name": "DIANE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OPA159830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.