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Winston N Petersen, PA-C

Physician Assistant in Twin Falls, ID · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194714717

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Registry record

Entity type Individual (Type 1)
Name Winston N Petersen
Credential PA-C
Sex Male
Practice address 800 Falls Ave, Suite 2, Twin Falls, ID, 83301
Fax (208) 734-4654
Enumeration date Oct 17, 2005
Last updated in NPPES Apr 29, 2016

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 262207-1206 (UT) Primary

Other identifiers

Identifier Type State Issuer
807969000 Medicaid ID -
PAG40 Other ID BLUE CROSS OF IDAHO
PAG41 Other ID BLUE CROSS OF IDAHO
000010165444 Other ID REGENCE BLUE SHIELD
000010165445 Other ID REGENCE BLUE SHIELD OF ID
000010165446 Other ID REGENCE BLUE SHIELD OF ID
807969002 Medicaid ID -
PAG39 Other ID BLUE CROSS OF IDAHO
807969001 Medicaid ID -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Winston Petersen practice?
The practice location on file with NPPES is in Twin Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Winston Petersen?
The National Provider Identifier (NPI) for Winston Petersen is 1194714717, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-04-29.