Individual provider Active NPI

Madeline Elizabeth Peters, PA-C

  • Physician Assistant
  • Hamilton, OH
National Provider Identifier
1265171722
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007608RX Issued in OH
Practice address
5964 Golf Club Lane
Hamilton, OH 45011
Phone
(513) 893-1100
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007608RX OH Primary

Addresses

Primary practice location

5964 Golf Club Lane
Hamilton, OH 45011

Mailing address

5964 Golf Club LN
Fairfield Township, OH 45011-8224
Phone (513) 893-1100

Other practice location 1

5971 Golf Club Ln
Fairfield Township, OH 45011-8225
Phone (513) 896-3000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mpeters805871@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220629001929 OH Practitioner - Physician Assistant 3476933029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Physicians IncGroup PAC ID 0840104360, 314 clinicians

Practice addresses (Care Compare)

1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534

5964 Golf Club LN
Fairfield Township, OH 45011-8224
Phone (513) 893-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Jul 1, 2022 Accepting new patients
Alliance Physicians Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

5964 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 425-7135

5971 Golf Club Ln
Fairfield Township, OH 45011
Phone (513) 785-4304

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1265171722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LN",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450118224",
            "telephone_number": "513-893-1100",
            "fax_number": "513-893-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LANE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "45011",
            "telephone_number": "513-893-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5971 Golf Club Ln",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450118225",
            "country_code": "US",
            "telephone_number": "513-896-3000",
            "fax_number": "513-737-0524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007608RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpeters805871@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "5964 Golf Club Lane",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "5964 Golf Club Lane",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.