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

Individual provider Physician Assistant · NPI 1093434870

Anissa Peterson, PA-C is a Physician Assistant in Jackson, Michigan. Qualified in 2022, 4 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1111 Teneyck St Ste 100
Jackson, MI 49201-2493
Phone: (517) 205-8940
Fax: (517) 205-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2845 Capital Ave Sw Ste 302, Battle Creek, MI 49015-4187 — (269) 979-6333

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011567 (MI)

Record details

NPI number1093434870
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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