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

Mrs. Michelle Annmarie Jackson Petersen, NP

Individual provider Family Nurse Practitioner · NPI 1205548443

Mrs. Michelle Annmarie Jackson Petersen, NP is a Nurse Practitioner in Astoria, New York. Qualified in 2021, 5 years ago. Practices with Samuel Akuoku Physician PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2322 30th Rd Ste 1A
Astoria, NY 11102-3238
Phone: (667) 326-9198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F348339-01 (NY)

Record details

NPI number1205548443
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedDecember 20, 2022
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Samuel Akuoku Physician Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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