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

Mollie Pfeifer Petersen, PAC

Individual provider Physician Assistant · NPI 1649554361

Mollie Pfeifer Petersen, PAC is a Physician Assistant in Sturgeon Bay, Wisconsin. Qualified in 2011, 15 years ago. Practices with Door County Memorial Hospital, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1843 Michigan St
Sturgeon Bay, WI 54235-1007
Phone: (920) 746-1060
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2806 (WI)

Record details

NPI number1649554361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 29, 2011
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Door County Memorial Hospital — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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