Individual Healthcare Provider
Emily C Peterson, PA-C
Provider's NPPES record last updated: May 4, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1578979654
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- St Louis Park, Minnesota
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:14 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X
Provider-Reported License Information
- Physician Assistant (Minnesota)
- 11667
Practice Locations
Practice Location
3931 Louisiana Ave S
St Louis Park, Minnesota 55426-5000
Phone: (952) 993-3230
Additional Practice Location
3580 Arcade St
Vadnais Heights, Minnesota 55127-7135
Phone: (651) 968-5200
Fax: (651) 968-5903
Record Information
- Enumeration Date
- July 9, 2014
- Provider's NPPES Record Last Updated
- May 4, 2022
- Certification Date
- May 4, 2022
- NPISignal NPPES Dataset
- August 2026
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