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

Amy Viola Petrie, PAC

Individual provider Medical Physician Assistant · NPI 1649386319

Amy Viola Petrie, PAC is a Medical Physician Assistant in Niles, Michigan. Licensed in Illinois and Michigan. Registered with an NPI since 2006.

Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

2002 S 11th St
Niles, MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006305 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085002713 (IL)

Record details

NPI number1649386319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 22, 2006
Last updated in NPPESMarch 14, 2013
Mailing address6416 Deans Hill Rd, Berrien Center, MI 49102-9750