NPPES file of Aug 9, 2026

Amanda D. Petersen, PA-C

Medical Physician Assistant · Kennewick, WA

Amanda D. Petersen, PA-C is a medical physician assistant with a practice address in Kennewick, Washington, and NPI 1528391372, issued on Sep 11, 2009. Check the license (Washington PA60113833, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1528391372
Name
Amanda D. Petersen
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License number
PA60113833 WA
Self-reported in NPPES; status is on the state search
Practice location
4804 W Clearwater Ave, Kennewick, WA 99336
Phone
(509) 942-2355
Enumerated
Sep 11, 2009
Record last updated
Jan 22, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(509) 222-2355
Medicaid ID
1528391372 WA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4804 W Clearwater Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Brian Barstad, M.D.Family Medicine Physician1871596346
  2. Vickie Boll, PA-CPhysician Assistant1396737706
  3. Bevan Briggs, ARNPNurse Practitioner1841277340
  4. Laura Campos, ARNPFamily Nurse Practitioner1649542838
  5. Sydney De Cejka, PAPhysician Assistant1467910265
  6. Mohammad Jalalyar, DNP, ARNP, FNP-CFamily Nurse Practitioner1649991993

Verify Amanda D. Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Washington board licenses this profession
    Search for license PA60113833
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Washington license search

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The practice group's MIPS final score for 2023 (Medicare payment program): 83.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.5
  2. Costout of 100 · 30%67.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $149.40

4 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Amanda Petersen$149.40
  2. Specialty average$1,055.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Amanda D. Petersen among 1,068 medical physician assistant records in Washington

Amanda D. Petersen, PA-C is one of 1,068 medical physician assistant records with a practice address in Washington. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 51% of them.

  • NPI issued2009 · 51% of these records are older, 46% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileNo · 54% of these records are
  • Record last updated2014 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Medical Physician Assistant providers in Washington

There are 1,068 medical physician assistant records in Washington.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Randall Clower, PA-CKennewick, WA 993361871521864
  2. Carrie Lamb, PA-CKennewick, WA 993361396177119
  3. Stacey Lemire, PA-CKennewick, WA 993361740323997
  4. Kari Robertson, PA-CKennewick, WA 993361316174063
  5. Jeremiah Price, PAKennewick, WA 993371346778271
  6. Lisa Reardon, PA-CKennewick, WA 993371700049228
  7. Anthony Carabba, PA-CKennewick, WA 993381861656902
  8. Luis Alcalde, PHYSICIAN ASSISTANTOthello, WA 993441376521229

Common questions

What is Amanda D. Petersen, PA-C's NPI number?

Amanda D. Petersen, PA-C's National Provider Identifier (NPI) is 1528391372, issued on Sep 11, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Amanda D. Petersen, PA-C located?

The NPPES record lists a practice address at 4804 W Clearwater Ave, Kennewick, WA, 99336. Phone: (509) 942-2355. Providers update this record themselves, so call before visiting.

How can I verify Amanda D. Petersen, PA-C's license?

NPPES lists Washington license number PA60113833, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.

What is Amanda D. Petersen, PA-C's MIPS final score?

The 2023 MIPS final score is 83.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.