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

Anne E. Petersen, MD

Individual provider Surgery Physician · NPI 1114968435

Anne E. Petersen, MD is a General Surgery in Columbia, Missouri. Graduated from Saint Louis University School of Medicine in 2001, 25 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1601 E Broadway Ste 240
Columbia, MO 65201-8020
Phone: (573) 815-8145
Fax: (573) 815-3832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2006010643 (MO)

Record details

NPI number1114968435
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESFebruary 13, 2017
Mailing address670 Mason Ridge Center Dr, Ste 300, Saint Louis, MO 63141-8573

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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