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

Sydney Rae Petersen, PA

Individual provider Physician Assistant · NPI 1093551715

Sydney Rae Petersen, PA is a Physician Assistant in Lincoln, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.

Licensed in
NE
In the registry since
2024
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

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone: (402) 420-7000
Fax: (402) 420-6969
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3367 (NE)

Record details

NPI number1093551715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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