NPI age
20 years
Enumerated 2005-10-17
● Active
Type 1 · Individual
Winston N Petersen, PA-C
Petersen is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-04-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-10Enumerated in NPPES
2005
2026
Where they practice
Practice location
800 Falls Ave, Suite 2
Twin Falls, ID 833013366
Mailing address
811 N 900 W
Orem, UT 840577701
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807969000 | |
| 01 (ID) | PAG40 | BLUE CROSS OF IDAHO |
| 01 (ID) | PAG41 | BLUE CROSS OF IDAHO |
| 01 (ID) | 000010165444 | REGENCE BLUE SHIELD |
| 01 (ID) | 000010165445 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 000010165446 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 807969002 | |
| 01 (ID) | PAG39 | BLUE CROSS OF IDAHO |
| 05 (ID) | 807969001 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.