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

Dr. Emily Ann Peterson, MD

Individual provider Plastic Surgery Physician · NPI 1306019328

Dr. Emily Ann Peterson, MD is a Plastic and Reconstructive Surgery in State College, Pennsylvania. Qualified in 2003, 23 years ago. Practices with Mount Nittany Medical Center Health Services Inc, a 367-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Radnor Rd Ste 101
State College, PA 16801-7986
Phone: (814) 231-7878
Fax: (814) 237-1034
Show map & directions

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

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence MD429105 (PA)
Plastic Surgery Physician Taxonomy 208200000X · Licence MD429105 (PA)

Record details

NPI number1306019328
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2008
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mount Nittany Medical Center Health Services Inc — 367 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare