Doctor profile · Federal record
Dr. Andrea Petersen, MPH, PA-C
Physician Assistant · Physician Assistant · Newport Beach, CA
- NPI 1063854669
- Accepts Medicare
- MIPS 84.3 / 100 · 2023
- 13 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
500 Superior Ave Ste 310
Newport Beach, CA 926633609
(949) 644-2722
fax (949) 650-3135
Credentials & registration
- NPI registered
- July 2013 — 13 yrs on file
- Profile last updated
- November 3, 2025
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- California #65363 · Minnesota #11722
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063854669. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$13
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $13.46 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
13
Total drug cost
$122
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Fluconazole | Generic | 13 | 13 | $122 |
Hospital affiliations
Frequently asked questions
What is Dr. Andrea Petersen's medical specialty?
Dr. Andrea Petersen practices Physician Assistant in Newport Beach, CA.
Where does Dr. Andrea Petersen practice?
Dr. Andrea Petersen practices at 500 Superior Ave Ste 310, Newport Beach, CA 926633609. Office phone: 9496442722.
What is Dr. Andrea Petersen's NPI?
Dr. Andrea Petersen's National Provider Identifier (NPI) is 1063854669, issued by NPPES.
Does Dr. Andrea Petersen accept Medicare assignment?
Yes. Dr. Andrea Petersen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.