Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mary T Carr Peterson, PA

Physician Assistant in Ankeny, IA · enumerated 2006 · practices at The Iowa Clinic PC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164496212

Verified

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Registry record

Entity type Individual (Type 1)

Name Mary T Carr Peterson

Credential PA

Sex Female

Practice address 1410 Sw Tradition Dr Ste 110, Ankeny, IA, 50023

Phone (515) 875-9696

Fax (515) 875-9697

Enumeration date Feb 15, 2006

Last updated in NPPES Aug 7, 2025

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001597 (IA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 001597 (IA) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
2117994	Medicaid	IA	-
3117994	Medicaid	IA	-
37904	Other	-	WELLMARK
37903	Other	-	WELLMARK
37905	Other	-	WELLMARK
1117994	Medicaid	IA	-
0634600	Medicaid	IA	-
37902	Other	-	WELLMARK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Mary Carr Peterson?

Mary Carr Peterson is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Timothy Colby Family Medicine Physician · Ankeny, IA NPI 1891774550 John Karabias Physician Assistant · Ankeny, IA NPI 1336219344 Andrew Tigges Physician Assistant · Ankeny, IA NPI 1790018471 Karla Edwards Nurse Practitioner · Ankeny, IA NPI 1366871865 Kristin Witzenburg Physician Assistant · Ankeny, IA NPI 1306260682 The Iowa Clinic PC Durable Medical Equipment & Medical Supplies · Ankeny, IA NPI 1235851916

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-07.