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

Jennifer C Peterson, MD

Individual provider Pediatric Critical Care Medicine Physician · NPI 1154586071

Jennifer C Peterson, MD is a Pediatric Medicine in Flagstaff, Arizona. Graduated from University of Washington School of Medicine in 2008, 18 years ago. Works from 4 locations. Licensed in Arizona, Georgia, North Dakota and Wisconsin.

Years since qualifying
18
Trained at
University of Washington School of Medicine
Licensed in
AZ, GA, ND, WI
In the registry since
2008
Specialties on file
5
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

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 213-6235
Show map & directions

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

Additional practice locations (3)

  • 1919 E Thomas Rd, Phoenix, AZ 85016-7710 — (602) 933-1000
  • 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 — (970) 222-0233
  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Pediatric Critical Care Medicine Physician (primary) Taxonomy 2080P0203X · Licence 71077 (AZ)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 075484 (GA)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 53734 (WI)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 13205 (ND)
Hospitalist Physician Taxonomy 208M00000X · Licence 71077 (AZ)

Record details

NPI number1154586071
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2008
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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