Individual provider Active NPI

Allison V Peters, PA-C

  • Physician Assistant
  • Bloomington, IN
National Provider Identifier
1275159535
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004541A Issued in IN
Practice address
482 S Liberty Dr
Bloomington, IN 47403-1927
Phone
(812) 353-3443
Fax
(812) 353-3442
NPI assigned
Jun 23, 2020
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8610 AZ
Physician Assistant 363A00000X 10004541A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

482 S Liberty Dr
Bloomington, IN 47403-1927

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

4951 S White Mountain Rd Bldg A
Show Low, AZ 85901-7827
Phone (928) 537-6700

Other identifiers 1

IdentifierTypeStateIssuer
099274MedicaidAZ

Other names 1

  • Allison Lipetz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apeters@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20241001003867 IN Practitioner - Physician Assistant 9739585027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

1036 Broad Ripple Ave
Indianapolis, IN 46220-2035
Phone (317) 759-9960

222 W Michigan St
Iu Health Urgent Care LLC Downtow
Indianapolis, IN 46204-1254
Phone (225) 214-9352

2598 W White River Blvd
Muncie, IN 47303-5251
Phone (765) 747-3888

395 Westerfield Rd
Noblesville, IN 46060-1425

395 Westfield Dr
Noblesville, IN 46060-1425

395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157

395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440

395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520

395 Westfield Rd RM
Noblesville, IN 46060-1425

493 Westfield Rd a
RHP Ear Nose and Throat
Noblesville, IN 46060-1304
Phone (317) 770-5800

493 Westfield Rd B
RHP Primary Care Noblesville
Noblesville, IN 46060-1304
Phone (317) 844-8836

90 E Garner Rd
Iu Health Urgent Care LLC
Brownsburg, IN 46112-9359
Phone (225) 214-1031

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Sep 16, 2024 Accepting new patients
Summit Healthcare Association Physician Assistant Current Accepting new patients
Riverview Hospital CurrentSince Aug 31, 2025 Accepting new patients
Riverview Hospital CurrentSince Aug 31, 2025 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Sep 16, 2024 Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700

5171 S Cub Lake Rd
Ste B230
Show Low, AZ 85901
Phone (928) 537-3500

1121 S Main St
Snowflake, AZ 85937
Phone (928) 532-3008

482 S Liberty Dr
Bloomington, IN 47403
Phone (812) 353-3443

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: allisonpeters@shrmcshma.allscriptsdirect.net

Organizations & group practices 6

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

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1275159535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 S LIBERTY DR",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474031927",
            "telephone_number": "812-353-3443",
            "fax_number": "812-353-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4951 S White Mountain Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017827",
            "country_code": "US",
            "telephone_number": "928-537-6700",
            "fax_number": "928-532-2169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALLISON",
        "middle_name": "V",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8610",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004541A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099274",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeters@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "482 S Liberty Dr",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474031927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "LIPETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.