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

Kerry Elizabeth Petersen

Individual provider Physician Assistant · NPI 1457950446

Kerry Elizabeth Petersen is a Physician Assistant in Baltimore, Maryland. Qualified in 2021, 5 years ago. Practices with Johns Hopkins University, a 705-clinician group and works from 2 locations. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4940 Eastern Ave
Baltimore, MD 21264-1508
Phone: (410) 550-0100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 620 W Lexington St Ste 5110, Baltimore, MD 21201-1508 — (410) 777-1881

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C08311 (MD)

Record details

NPI number1457950446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2020
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Johns Hopkins University — 705 clinicians
Accepts Medicare assignment Not indicated
Practice locations9 on file with Medicare

Other providers in Baltimore