MICHELLE A PETERSEN (NPI# 1538203476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538203476 |
| Entity Type | Individual |
| Full Name | MICHELLE A PETERSEN |
| Credential | PA |
| Practice Address |
2221 S 17th St Ste 202 Lincoln NE 68502 |
| Mailing Address |
2222 S 16th St Ste 400a Lincoln NE 68502-3785 |
| Practice Telephone | 4024838555 |
| Mailing Telephone | 4024838590 |
| Mailing Fax Number | 4024838599 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 001911 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 1204 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 S 16th St Ste 400a, Lincoln, NE 685023785 | 4024838555 | 4024838554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568710671 | Michelle E Petersen | Physical Therapist | 3875 Wedgewood Ln, The Villages, FL 32162-9301 | 2012-08-21 |
| 1063488047 | Michelle Lynn Petersen | Dentist | 8010 State Line Rd, Suite 210, Prairie Village, KS 66208-3710 | 2006-02-28 |
| 1063644953 | Michelle L Petersen | Pharmacist | 735 Spruce St, Myrtle Point, OR 97458-1154 | 2009-08-11 |
| 1700041472 | Michelle K Petersen | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241 | 2008-07-22 |
| 1588778740 | Michelle Petersen | Kinesiotherapist | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-17 |
| 1811972458 | Michelle E Petersen | Nurse Practitioner | 1608 E Evergreen St, Suite A, Cameron, MO 64429-2400 | 2005-12-07 |
| 1447247838 | Michelle B Petersen | Pediatrics | 7441 O St, Suite 303, Lincoln, NE 68510-2468 | 2005-09-30 |
| Street Address |
2221 S 17TH ST STE 202 |
| City | LINCOLN |
| State | NE |
| Zip Code | 68502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181547 | Arianna Rose Shay | Physician Assistant | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2019-02-21 |
| 1609375005 | Chelsie Marie Sutton | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2018-02-12 |
| 1609374925 | Megan Elizabeth Foss | Physician Assistant | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2018-02-01 |
| 1538529193 | Kathryn Nelson | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2016-02-25 |
| 1801281126 | Ashley Marcuccio | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2015-04-02 |
| 1649698523 | Ryan Thomas Santin | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2014-03-28 |
| 1306289665 | Matthew James Wittry | Psychiatry & Neurology | 2221 S 17th St Ste 202, Lincoln, NE 68502 | 2013-04-16 |
| 1912024399 | Christine Marie Demasi | Nurse Practitioner | 2221 S 17th St Ste 202, Lincoln, NE 68502-3763 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228524 | Denison J Salisbury | Chiropractor | 3121 South 11th St, Lincoln, NE 68502 | 2020-05-29 |
| 1194207142 | Stephanie Delgado | Counselor | 1640 Lake Street, Lincoln, NE 68502 | 2018-09-05 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1508365776 | Karen Sloboda | Chiropractor | 3121 South 11th Street, Lincoln, NE 68502 | 2018-02-02 |
| 1417472762 | Nusp1, P.C. | Chiropractor | 3245 Pioneers Blvd, Lincoln, NE 68502 | 2017-08-08 |
| 1467976308 | Bryan Health Connect | Preferred Provider Organization | 2300 S 16th Street, Lincoln, NE 68502 | 2017-08-02 |
| 1235586348 | Justin Cook | Chiropractor | 3121 S. 11th St., Lincoln, NE 68502 | 2016-05-18 |
| 1316319924 | Cari Musgrove | Pharmacist | 2300 So 16th St, Bryan West Pharmacy, Lincoln, NE 68502 | 2015-10-22 |
| 1164866976 | Trevor Gregath | Psychiatry & Neurology | 2222 S 16th St Ste 340, Lincoln, NE 68502 | 2013-04-23 |
| 1023374808 | Nebraska Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1550 South St L, Lincoln, NE 68502 | 2012-04-06 |
| Find all providers in zip 68502 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580156 | Alana M Oster | Physician Assistant | 129 Chapel St, Lincoln, RI 02865-2119 | 2020-08-25 |
| 1871143891 | Ashley Moreau | Physician Assistant | 4 Lauretta Ln, Lincoln, RI 02865-1338 | 2019-09-12 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
| 1629535521 | Jason Theodore | Physician Assistant | 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973 | 2019-02-27 |
| 1144674276 | Austin Bryce Henslee | Physician Assistant | 575 S 70th St Ste 310, Lincoln, NE 68510 | 2016-04-14 |
| 1790163814 | Mary Elizabeth Tucker | Physician Assistant | 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 | 2015-05-08 |
| 1942542790 | Linda Denise Corr | Physician Assistant | 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 | 2013-03-20 |
| 1669734794 | Kimberly Kathryn Piening | Physician Assistant | 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 | 2012-06-14 |
| 1548521933 | Terumi Degraw | Physician Assistant | 1715 S 26th St, Lincoln, NE 68502-3061 | 2012-06-02 |
| 1609103415 | Kristen Alyce Bruening | Physician Assistant | 8550 Cuthills Cir, Lincoln, NE 68526-9474 | 2009-11-16 |
| Find all providers in LINCOLN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.