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

Mrs. Johanna Rae Peterson, PA-C

Individual provider Medical Physician Assistant · NPI 1396934238

Mrs. Johanna Rae Peterson, PA-C is a Physician Assistant in Bend, Oregon. Graduated from Oregon Health Sciences University School of Medicine in 2007, 19 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
19
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
OR
In the registry since
2007
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 →

Practice location Address checks out

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279
Phone: (541) 706-4220
Show map & directions

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

Additional practice locations (1)

  • 400 Hickory St Nw Ste 303, Albany, OR 97321-1700 — (541) 812-5275

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01280 (OR)

Record details

NPI number1396934238
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2007
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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