Individual provider · Type 1 NPI

Cassidy Peterson, PA-C

Physician Assistant · Rapid City, SD

NPI number 1356808034 Active

Practice location

4150 5th St
Rapid City, SD 57701-6022

Call (605) 755-6000 Map

Mailing address

353 Fairmont Blvd
Rapid City, SD 57701-7375

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A 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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356808034

Cassidy Peterson, PA-C's National Provider Identifier is 1356808034, issued on Feb 28, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rapid City, SD. The record was last updated on Sep 15, 2025.