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

Michelle Ashley Edwards Peterson, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1538630579

Michelle Ashley Edwards Peterson, AGACNP is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2018, 8 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

10210 N 92nd St Ste 300
Scottsdale, AZ 85258-4525
Phone: (480) 882-7750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 220223 (AZ)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 220223 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 220223 (AZ)

Record details

NPI number1538630579
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Scottsdale