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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CARL EDWIN PETERS PA
NPI 1063458636
Physician Assistant in Sioux City, IA

Active since June 21, 2006
1551 INDIAN HILLS DR, SIOUX CITY, IA 51104(712) 258-4700(712) 258-4777 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Carl Edwin Peters Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARL EDWIN PETERS PA (NPI 1063458636) is an individual physician assistant in Sioux City, Iowa, licensed in Iowa (001490) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063458636
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARL EDWIN PETERSCredential: PA
Location Address1551 INDIAN HILLS DRSioux City, IA 51104-1859
Mailing Address1551 Indian Hills DrSioux City, IA 51104-1857 · (712) 258-4700 · Fax (712) 258-4777
Phone(712) 258-4700
Fax(712) 258-4777
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1063458636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 001490
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1551 INDIAN HILLS DR, Sioux City, IA 51104
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIAN HILLS PHARMACY
Pharmacist
1551 INDIAN HILLS DR, STE 101
SIOUX CITY, IA 51104
Woodbury County (712) 255-9150
NORTHSIDE CHIROPRACTIC WELLNESS CENTER PLC
Chiropractor
1551 INDIAN HILLS DR, SUITE 8
SIOUX CITY, IA 51104
Woodbury County (712) 239-9095
MICHAEL P BAKER DBA ASSOCIATES FOR PSYCHOLOIGCAL & THERAPY SERVICES
Psychologist
1551 INDIAN HILLS DR, SUITE 221
SIOUX CITY, IA 51104
Woodbury County (712) 252-1473
RENEE ANN FAGEN PSY.D.
Psychologist (Clinical)
1551 INDIAN HILLS DR
SIOUX CITY, IA 51104
Woodbury County (712) 258-4700
SIMPLE LIFE, INC.
Community/Behavioral Health
1551 INDIAN HILLS DR, SUITE 4
SIOUX CITY, IA 51104
Woodbury County (712) 540-9117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Peters's NPI number?

The NPI number for Carl Peters is 1063458636. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Carl Peters located?

Carl Peters practices at 1551 Indian Hills Dr, Sioux City, IA 51104. The listed phone number is (712) 258-4700.

What is Carl Peters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carl Peters was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.