SYDNEY RAE PETERSEN PA
NPI 1093551715
Physician Assistant in Lincoln, NE

Active since July 02, 2024
4101 TIGER LILY RD STE 100, LINCOLN, NE 68516(402) 420-7000(402) 420-6969 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2026, Jul 2, 2024 (2 updates tracked since 2024).

About Sydney Rae Petersen Pa NPPES

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

SYDNEY RAE PETERSEN PA (NPI 1093551715) is an individual physician assistant in Lincoln, Nebraska, licensed in Nebraska (3367) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1093551715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY RAE PETERSENCredential: PA
Location Address4101 TIGER LILY RD STE 100Lincoln, NE 68516-5587
Mailing Address4101 Tiger Lily Rd Ste 100Lincoln, NE 68516-5587 · (402) 420-7000 · Fax (402) 420-6969
Fax(402) 420-6969
Sole ProprietorNo
Enumeration DateJuly 2, 2024
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1093551715 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 NE · 3367
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.

4101 TIGER LILY RD STE 100, Lincoln, NE 68516

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Occupational Therapist
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Nurse Practitioner (Adult Health)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516
Internal Medicine (Hematology & Oncology)
4101 TIGER LILY RD STE 100
LINCOLN, NE 68516

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 Sydney Petersen's NPI number?

The NPI number for Sydney Petersen is 1093551715. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Sydney Petersen located?

Sydney Petersen practices at 4101 Tiger Lily Rd Ste 100, Lincoln, NE 68516. The listed phone number is (402) 420-7000.

What is Sydney Petersen'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 Sydney Petersen was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.