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

Mary Colleen Peters, PA-C

Individual provider Physician Assistant · NPI 1447122445

Mary Colleen Peters, PA-C is a Physician Assistant in Roanoke, Virginia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
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

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 985-6920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Elm Ave Se, Roanoke, VA 24013-2222 — (540) 985-8483

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011635 (VA)

Record details

NPI number1447122445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

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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