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

Michelle A Petersen, PA-C

Individual provider Physician Assistant · NPI 1538203476

Michelle A Petersen, PA-C is a Physician Assistant in Lincoln, Nebraska. Qualified in 2004, 22 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Nebraska.

Years since qualifying
22
Licensed in
IA, NE
In the registry since
2007
Specialties on file
2
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

4004 Pioneer Woods Dr
Lincoln, NE 68506-7548
Phone: (402) 484-4900
Fax: (402) 484-6456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4001 Pioneer Woods Dr, Lincoln, NE 68506-7547 — (402) 484-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1204 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 001911 (IA)

Record details

NPI number1538203476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 16, 2007
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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