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NICOLE PETERSON
NPI 1992424048
Physician Assistant - Medical in Merrillville, IN

Active since August 23, 2022
200 E 89TH AVE STE 2A, MERRILLVILLE, IN 46410(219) 736-2800(219) 736-6680 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Peterson NPPES

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

NICOLE PETERSON (NPI 1992424048) is an individual medical provider in Merrillville, Indiana, licensed in Indiana (10003571A) and active in the NPI registry since August 2022. She maintains a secondary practice location in Munster.

NPPES Registry Identity

NPI1992424048
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE PETERSON
Location Address200 E 89TH AVE STE 2AMerrillville, IN 46410-7319
Mailing Address200 E 89th Ave Ste 2aMerrillville, IN 46410-7319 · (219) 736-2800
Phone(219) 736-2800
Fax(219) 736-6680
Sole ProprietorNo
Enumeration DateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1992424048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IN · 10003571A
200 E 89TH AVE STE 2A, Merrillville, IN 46410
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Secondary Practice Location 1

Location 1929 Ridge Rd Ste 5Munster, IN 46321-1769 · Phone (219) 836-2000 · Fax (219) 836-8272

Other Providers at the Same Location NPPES 7

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

LAUREN DANDURAND AGACNP-BC
Family Medicine (Geriatric Medicine)
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800
SONAL PATEL MS, RD
Dietitian, Registered
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 614-8921
CHRISTINE CAIN NP
Internal Medicine (Hematology & Oncology)
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800
CHRISTINE ENGLE DNP
Nurse Practitioner
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800
HUSAM HAFZAH MD
Internal Medicine (Hematology & Oncology)
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800
ALLISON JARRETT PA
Physician Assistant (Medical)
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800
MR. CLINTON CHINN FNP-C
Nurse Practitioner (Family)
200 E 89TH AVE STE 2A
MERRILLVILLE, IN 46410
Lake County (219) 736-2800

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 Nicole Peterson's NPI number?

The NPI number for Nicole Peterson is 1992424048. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Nicole Peterson located?

Nicole Peterson practices at 200 E 89th Ave Ste 2A, Merrillville, IN 46410. The listed phone number is (219) 736-2800.

What is Nicole Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Peterson was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.