Doctor profile · Federal record

Dr. Susan Peterson, PA

Medical Physician Assistant · Fort Wayne, IN

  • NPI 1205946613
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
11143 Parkview Plaza Dr, 100
Fort Wayne, IN 468451727
(260) 484-8830
fax (260) 483-1911

Credentials & registration

NPPES · NUCC
NPI registered
August 2006 — 20 yrs on file
Profile last updated
October 29, 2009
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
Indiana #10000342A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205946613. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $14.50

By nature of payment

Food and Beverage
$15

Frequently asked questions

Auto-generated from federal data
What is Dr. Susan Peterson's medical specialty?
Dr. Susan Peterson practices Medical Physician Assistant in Fort Wayne, IN.
Where does Dr. Susan Peterson practice?
Dr. Susan Peterson practices at 11143 Parkview Plaza Dr, Fort Wayne, IN 468451727. Office phone: 2604848830.
What is Dr. Susan Peterson's NPI?
Dr. Susan Peterson's National Provider Identifier (NPI) is 1205946613, issued by NPPES.