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

Nicole Peterson

Individual provider Medical Physician Assistant · NPI 1992424048

Nicole Peterson is a Medical Physician Assistant in Merrillville, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

200 E 89th Ave Ste 2A
Merrillville, IN 46410-7319
Phone: (219) 736-2800
Fax: (219) 736-6680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 929 Ridge Rd Ste 5, Munster, IN 46321-1769 — (219) 836-2000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10003571A (IN)

Record details

NPI number1992424048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

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