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

Mary T Carr Peterson, PA

Individual provider Medical Physician Assistant · NPI 1164496212

Mary T Carr Peterson, PA is a Physician Assistant in Ankeny, Iowa. Qualified in 2004, 22 years ago. Practices with Doctorsnow Walk in Care Lc, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
22
Licensed in
IA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1410 SW Tradition Dr Ste 110
Ankeny, IA 50023
Phone: (515) 875-9696
Fax: (515) 875-9697
Show map & directions

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

Additional practice locations (1)

  • 1410 Sw Tradition Dr Ste 120, Ankeny, IA 50023-9188 — (515) 875-9040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001597 (IA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001597 (IA)

Record details

NPI number1164496212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Doctorsnow Walk In Care Lc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ankeny