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

Dr. Peter M Mikkelsen, MD

Individual provider Emergency Medicine Physician · NPI 1790745792

Dr. Peter M Mikkelsen, MD is an Emergency Medicine in Pullman, Washington. Graduated from University of North Dakota School of Medicine in 1996, 30 years ago. Practices with Public Hospital District 1-A of Whitman County, a 96-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Trained at
University of North Dakota School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone: (509) 336-7388
Fax: (509) 336-7389
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00042890 (WA)

Record details

NPI number1790745792
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address835 Se Bishop Blvd, Pullman, WA 99163-5512

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Public Hospital District 1-A Of Whitman County — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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