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

Jaime M Peterson, PA

Individual provider Surgical Physician Assistant · NPI 1164427548

Jaime M Peterson, PA is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2003, 23 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Wisconsin.

Years since qualifying
23
Licensed in
IA, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1685 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1685 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2124 (IA)

Record details

NPI number1164427548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 14, 2005
Last updated in NPPESJuly 10, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in LA Crosse