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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Peter Boettger, PA

Medical Physician Assistant in Greenville, NC · enumerated 2005.

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

National Provider Identifier

1174509541

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Registry record

Entity type Individual (Type 1)
Name Mr. Peter Boettger
Credential PA
Sex Male
Practice address 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC, 27858
Phone (252) 744-2383
Fax (252) 744-3565
Enumeration date Dec 19, 2005
Last updated in NPPES Mar 4, 2015

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 100862 (NC) 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
970005706 Other NC RAILROAD MEDICARE

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.

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Frequently asked questions

Is NPI 1174509541 active?
Yes, as of the latest NPPES snapshot, NPI 1174509541 is active (record last updated 2015-03-04).
How do I verify Peter Boettger's NPI record?
Cross-check NPI 1174509541 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-04.