Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

David A Petersen, MD

Family Medicine Physician in Lewiston, ID · enumerated 2006.

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

National Provider Identifier

1619050424

Verified

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Registry record

Entity type Individual (Type 1)

Name David A Petersen

Credential MD

Sex Male

Practice address 2315 8th St, Lewiston, ID, 83501

Phone (208) 746-1383

Fax (208) 746-6348

Enumeration date Oct 23, 2006

Last updated in NPPES Jan 18, 2016

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M4779 (ID) Primary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD00026059 (WA) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
31256	Other	WA	WA LABOR & INDUSTRIES
2009450	Medicaid	WA	-
1116491	Other	ID	DMERC
1619050424	Medicaid	ID	-
1619050424	Other	ID	REGENCE BLUE SHIELD
80094286	Other	ID	RR MEDICARE
DF573	Other	ID	BLUE CROSS

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

How do I verify David Petersen's NPI record?

Cross-check NPI 1619050424 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1619050424 active?

Yes, as of the latest NPPES snapshot, NPI 1619050424 is active (record last updated 2016-01-18).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-18.