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

Hannah Petersen, PA-C

Individual provider Physician Assistant · NPI 1861210122

Hannah Petersen, PA-C is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2025, 1 year ago. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2024
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

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-5437
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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 5683 (OK)

Record details

NPI number1861210122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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