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

Individual provider Physician Assistant · NPI 1639953243

Keri Peterson, PA-C is a Physician Assistant in Missoula, Montana. Qualified in 2025, 1 year ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
1
Licensed in
MT
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1821 S Ave W Ste 402
Missoula, MT 59801-6518
Phone: (406) 543-8512
Fax: (406) 541-8513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2875 Tina Ave Ste 104, Missoula, MT 59808-1582 — (406) 613-7676

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-160046 (MT)

Record details

NPI number1639953243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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