Jedidiah Petersen, PA
NPI 1366870206 · Physician Assistant · Polson, MT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jedidiah Petersen, PA is a Physician Assistant provider in Polson, MT (NPI 1366870206).
Provider details
- NPI number
- 1366870206
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA-1110 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 85 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 153 | 42 |
| Levothyroxine Sodium | 129 | 34 |
| Lisinopril | 121 | 34 |
| Amlodipine Besylate | 118 | 34 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 105 | 27 |
| Losartan Potassium | 103 | 34 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-30
- Last updated
- 2015-12-08
Frequently asked questions
- What is Jedidiah Petersen's NPI number?
- Jedidiah Petersen's National Provider Identifier (NPI) is 1366870206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jedidiah Petersen's specialty?
- Jedidiah Petersen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jedidiah Petersen located?
- Jedidiah Petersen's practice location on file with NPPES is 6 13th Ave E, Polson, MT 59860-5315.
- What is Jedidiah Petersen's phone number?
- The practice phone number listed in the NPPES registry for Jedidiah Petersen is (406) 883-5680.
- Does Jedidiah Petersen accept Medicare?
- Jedidiah Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jedidiah Petersen's NPI active?
- Yes — Jedidiah Petersen's NPI (1366870206) is active in the NPPES registry as of the last update on 2015-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.