Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Ian Peterson, PA

Individual provider Physician Assistant · NPI 1891482360

David Ian Peterson, PA is a Physician Assistant in Lone Tree, Colorado. Qualified in 2022, 4 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9101 Kimmer Dr
Lone Tree, CO 80124-8454
Phone: (303) 424-2535
Fax: (303) 835-4623
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 — (303) 842-2362

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.0007841 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0007841 (CO)

Record details

NPI number1891482360
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lone Tree