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

Katie Peterson

Individual provider Medical Physician Assistant · NPI 1477886323

Katie Peterson is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2009, 17 years ago. Practices with Fairview Clinics, a 806-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
17
In the registry since
2009

Practice location Address checks out

17521 93rd Pl N
Maple Grove, MN 55311-4437
Phone: (763) 577-7179
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1477886323
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2009
Last updated in NPPESSeptember 10, 2009
Mailing address17521 93rd Pl N, Maple Grove, MN 55311-4437

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Maple Grove