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

Nicole M Peterson, PA

Individual provider Physician Assistant · NPI 1538479571

Nicole M Peterson, PA is a Physician Assistant in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

611 W Park St ED
Urbana, IL 61801-2500
Phone: (217) 383-3313
Fax: (217) 383-4014
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085003809 (IL)

Record details

NPI number1538479571
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 8, 2010
Last updated in NPPESMarch 22, 2016

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