Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jamie Duane Peterson, PA-C

Individual provider Physician Assistant · NPI 1942393772

Mr. Jamie Duane Peterson, PA-C is a Physician Assistant in Cadillac, Michigan. Qualified in 2011, 15 years ago. Practices with Munson Healthcare Cadillac, a 103-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2006
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

927 S Carmel St
Cadillac, MI 49601-2547
Phone: (231) 876-3876
Fax: (231) 775-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006140 (MI)

Record details

NPI number1942393772
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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 Munson Healthcare Cadillac — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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