Susan Peterson, PA
Susan Peterson, PA is a Medical Physician Assistant in Fort Wayne, IN, registered under NPI 1205946613.
Getting there
The practice address on file is 11143 PARKVIEW PLAZA DR 100, Fort Wayne, IN 46845. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 10000342A | IN | Medical Physician Assistant primary |
This provider holds licence 10000342A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1205946613 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 30, 2006 |
| Last updated | Oct 29, 2009 |
| Status | Active |
| Sole proprietor | No |
| Credential | PA |
| Practice address |
11143 PARKVIEW PLAZA DR 100 Fort Wayne, IN 46845 (260) 484-8830 Fax (260) 483-1911 |
| Other identifiers |
000000528371
· ANTHEM PIN (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 9 | 4 | 6 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 9 | 4 | 3 | 6 | 2 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.