Emily Peterson, PA-C
NPI 1578979654 · Surgical Physician Assistant · St Louis Park, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emily Peterson, PA-C is a Surgical Physician Assistant provider in St Louis Park, MN (NPI 1578979654).
Provider details
- NPI number
- 1578979654
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 11667 (MN)
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 tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
368 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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 does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 76 | $88 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 74 | $57 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 71 | $62 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 55 | $124 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 34 | $42 |
| Residence Visit for New Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes |
Practice location
Mailing address
Additional practice locations (1)
- 3580 Arcade StVadnais Heights, MN 55127-7135Phone: (651) 968-5200Fax: (651) 968-5903
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Frequently asked questions
- What is Emily Peterson's NPI number?
- Emily Peterson's National Provider Identifier (NPI) is 1578979654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Emily Peterson's specialty?
- Emily Peterson is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Emily Peterson located?
- Emily Peterson's practice location on file with NPPES is 3931 Louisiana Ave S, St Louis Park, MN 55426-5000.
- What is Emily Peterson's phone number?
- The practice phone number listed in the NPPES registry for Emily Peterson is (952) 993-3230.
- Does Emily Peterson accept Medicare?
- Emily Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Emily Peterson's NPI active?
- Yes — Emily Peterson's NPI (1578979654) is active in the NPPES registry as of the last update on 2022-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.