JON T. PETERSON DO – NPI #1669553723
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JON PETERSON is a physician located in ANACORTES, WA. NPPES has assigned the NPI number 1669553723 to JON PETERSON on October 17, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 3 years ago on Mar 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JON PETERSON below.

NPI Profile for
JON T. PETERSON

NPI Number
1669553723
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JON T. PETERSON
Credentials
DO
Primary location
1213 24TH ST STE 100
ANACORTES, WA 98221-2595
Phone: (360) 293-3101 Fax:
1 Other location(s):
2960-A LIMITED LANE NW
Olympia, WA 98502
Phone: (360) 709-9500
Fax: (360) 754-4517
Mailing address
4804 SUNSET BEACH DRIVE NW
OLYMPIA, WA 98502
Phone: (360) 867-0595 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JON PETERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA HMO3568326
otherAETNA NON HMO5617199
otherBLUESHIELD FEDERAL2007PE
otherCLIA50D1031645
otherDSHS8192247
otherL & IO186018
otherPREMERA BLUE CROSSA1820
otherPREMERA DIMENSIONSA1820
otherPREMERA HEALTHA1820
otherPREMERA LIFEWISEA1825
otherREGENCE BLUESHIELD2007PE
otherUS DEPT OF LABOR601371600
otherWA STATE LICENSEOP00001517
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 WA OP00001517

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JON PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • ISLAND HOSPITAL
      1211 24TH STREET
      ANACORTES, WA 98221
  • HOME HEALTH AGENCY
    • ALPHA HOME HEALTH
      10530 19TH AVE SE STE 201
      EVERETT, WA 98208

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.