Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam B Petersen, AA

Individual provider Anesthesiologist Assistant · NPI 1518216613

Adam B Petersen, AA is an Anesthesiology Assistant in Springfield, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2012, 14 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2012
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Practice location Address checks out

3801 S National
Springfield, MO 65807
Phone: (417) 269-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2012015563 (MO)

Record details

NPI number1518216613
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESSeptember 5, 2012
Mailing address1000 E. Primrose Suite 520, Springfield, MO 65807

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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