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

Individual provider Physician Assistant · NPI 1285278614

Mrs. Holly Suzanne Peterson, PA-C is a Physician Assistant in Rexburg, Idaho. Qualified in 2019, 7 years ago. Practices with Mountain View Hospital LLC, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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

72 S 1st E Ste 101
Rexburg, ID 83440-1965
Phone: (208) 356-4900
Fax: (208) 356-3724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 335 E Main St Ste 101, Saint Anthony, ID 83445-1546 — (208) 356-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1814 (ID)

Record details

NPI number1285278614
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountain View Hospital Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Rexburg