Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michael Peterson

Individual provider Family Medicine Physician · NPI 1184037020

Michael Peterson is registered under Family Practice in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with St Vincents Medical Center Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

2627 Riverside Ave
Jacksonville, FL 32204-4712 Not confirmed with CMS for 10 years — call before visiting
Phone: (904) 308-7372
Fax: (904) 308-2908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS13490 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence UO 3884 (FL)

Record details

NPI number1184037020
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESMay 4, 2016

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Vincents Medical Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients150
Services billed 355 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Ascension St Vincent'S Riverside Hospital · Jacksonville, FL

Colleagues at St Vincents Medical Center Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 17 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville