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

Kevin Patrick Peters, PA-C

Individual provider Surgical Physician Assistant · NPI 1326525304

Kevin Patrick Peters, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2018, 8 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
8
Licensed in
ID, IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2003 Kootenai Health Way Ste 300
Coeur D Alene, ID 83814-6051
Phone: (208) 625-5081
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)

  • 4309 W Medical Center Dr Ste A200, McHenry, IL 60050-8437 — (815) 759-8070

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006652 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-2280 (ID)

Record details

NPI number1326525304
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Coeur D Alene