Active NPI
Lucy Elizabeth Peterson, M.D.
- Plastic Surgery Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD00031440
- Practice address
- 907 S Perry St
Spokane, WA 99202-3462 - Phone
- (509) 838-3937
- NPI assigned
- Nov 2, 2005
- Last updated
- Mar 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 01082989A | IN | |
| Plastic Surgery Physician | 208200000X | MD00031440 | WA | Primary |
Addresses
Primary practice location
907 S Perry St
Spokane, WA 99202-3462
Mailing address
PO Box 8168
Spokane, WA 99203-0168
Phone (509) 838-3937
Other practice location 1
11141 Parkview Plaza Dr Ste 300
Fort Wayne, IN 46845-1715
Phone (260) 425-6960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1086222 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020
200 Lilly Rd NE
Suite C
Olympia, WA 98506-5080
Phone (360) 933-0368
311 S L St
Tacoma, WA 98405-3720
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00031440 | WA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
5005 Main St
Ste 125
Tacoma, WA 98407
Phone (253) 759-4522
Interoperability endpoints
- lpeterson335288@direct.multicare.org
Organizations & group practices 7
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Franciscan Orthopedics-Silverdale
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
dba FMG-Lakes Anesthesia
- Anesthesiology Physician
- Tacoma, WA
- NPI 1831358282
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1326093873
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1790776425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8168",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992030168",
"telephone_number": "509-838-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 S PERRY ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992023462",
"telephone_number": "509-838-3937"
}
],
"practiceLocations": [
{
"address_1": "11141 Parkview Plaza Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451715",
"country_code": "US",
"telephone_number": "260-425-6960",
"fax_number": "260-425-6965",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "LUCY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IN",
"license": "01082989A",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD00031440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1086222",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.