Individual provider Active NPI

Lucy Elizabeth Peterson, M.D.

  • Plastic Surgery Physician
  • Spokane, WA
National Provider Identifier
1790776425
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD00031440 Issued in WA
Practice address
907 S Perry St
Spokane, WA 99202-3462
Phone
(509) 838-3937
NPI assigned
Nov 2, 2005
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1086222MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070611000153 WA Practitioner - Plastic and Reconstructive Surgery 6002914371 Reassigns benefits to 2 organizations
I20191025000507 IN Practitioner - Plastic and Reconstructive Surgery 6002914371 Reassigns benefits to 1 organization

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
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

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

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00031440WAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Multicare Health System CurrentSince Feb 7, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Nov 14, 2023 Accepting new patients
Multicare Health System CurrentSince Feb 7, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Franciscan Medical Group CurrentSince Nov 14, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.