Emily C. Peterson, PA-C
NPI 1578979654ActiveIndividual· Physician Assistant, Surgical· St Louis Park, MN
Physician Assistant, Surgical (PA-C) with Park Nicollet Clinic, practicing in St Louis Park, Minnesota. Medicare paid $26,220 for services to 191 patients in 2024. Janssen Biotech, Inc. reported $49.04 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1578979654 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 9, 2014 |
| Last updated in NPPES | May 4, 2022 |
| Certified by provider | May 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 11667 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 191 |
|---|---|
| Services billed | 5,586 across 23 procedure codes |
| Paid by Medicare | $26,220 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Industry payments (Open Payments)
- 2025$49.04 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Biotech, Inc. | $49.04 | 2 |
What the 2025 payments were for
- Food and Beverage$49.04 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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