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

Diane M Petersen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790719342

Diane M Petersen, MD is an Obstetrics/Gynecology in Saint Louis, Missouri. Graduated from Wayne State University School of Medicine in 1998, 28 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
28
Trained at
Wayne State 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

10010 Kennerly Rd Fl 4
Saint Louis, MO 63128-2106
Phone: (314) 525-6072
Fax: (314) 525-1387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-7498

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 2002025841 (MO)

Record details

NPI number1790719342
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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