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

Individual provider Family Medicine Physician · NPI 1003330036

Evan Douglas Peterson, PA-C is a Physician Assistant in Des Moines, Iowa. Qualified in 2017, 9 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
9
Licensed in
IA
In the registry since
2017
Specialties on file
2
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

6520 SE 14th St
Des Moines, IA 50320-1846
Phone: (515) 953-1500
Fax: (515) 953-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 088343 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 088343 (IA)

Record details

NPI number1003330036
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 1, 2017
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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