Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA DIANE PETERSON PA-C
NPI 1760387336
Physician Assistant in East Lansing, MI

Active since October 13, 2026
221 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823(248) 880-5025 Get Directions Write a Review

NPPES record added: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Diane Peterson Pa-c NPPES

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

SAMANTHA DIANE PETERSON PA-C (NPI 1760387336) is an individual physician assistant in East Lansing, Michigan, licensed in Michigan (5601014324) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1760387336
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA DIANE PETERSONCredential: PA-C
Location Address221 W LAKE LANSING RD STE 200East Lansing, MI 48823-8661
Mailing Address221 W Lake Lansing Rd Ste 200East Lansing, MI 48823-8661 · (248) 880-5025
Sole ProprietorNo
Enumeration DateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1760387336 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 MI · 5601014324
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.
221 W LAKE LANSING RD STE 200, East Lansing, MI 48823

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.

Counselor (Mental Health)
221 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823
Social Worker (Clinical)
221 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823
Physician Assistant
221 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823
Social Worker (Clinical)
221 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823
Case Management
221 W LAKE LANSING RD STE 200
EAST LANSING, MI 48823

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 Samantha Peterson's NPI number?

The NPI number for Samantha Peterson is 1760387336. It was assigned to this individual provider in the NPPES registry on October 13, 2026.

Where is Samantha Peterson located?

Samantha Peterson practices at 221 W Lake Lansing Rd Ste 200, East Lansing, MI 48823. The listed phone number is (248) 880-5025.

What is Samantha Peterson'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 Samantha Peterson was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.