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

Susan K. Peterson, PA

Individual provider Medical Physician Assistant · NPI 1205946613

Susan K. Peterson, PA is a Medical Physician Assistant in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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

11143 Parkview Plaza Dr 100
Fort Wayne, IN 46845-1727
Phone: (260) 484-8830
Fax: (260) 483-1911
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10000342A (IN)

Record details

NPI number1205946613
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESOctober 29, 2009

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