Individual provider Active NPI

Emily Peterson, MD

  • Obstetrics & Gynecology Physician
  • Wasilla, AK
National Provider Identifier
1285130617
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
236245 Issued in AK
Practice address
3122 E Meridian Park Loop Ste 3
Wasilla, AK 99654-7255
Phone
(907) 357-1113
Fax
(907) 357-1110
NPI assigned
Apr 4, 2018
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 44555 AL
Obstetrics & Gynecology Physician 207V00000X 236245 AK Primary

Addresses

Primary practice location

3122 E Meridian Park Loop Ste 3
Wasilla, AK 99654-7255

Mailing address

3122 E Meridian Park Loop Ste 3
Wasilla, AK 99654-7255
Phone (907) 357-1113

Other practice location 1

1458 Whatley Dr
Dothan, AL 36303-1994
Phone (334) 671-9445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230301000896 AL Practitioner - Obstetrics/Gynecology 4688925647 Reassigns benefits to 1 organization
I20251113000943 AK Practitioner - Obstetrics/Gynecology 4688925647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrics and Gynecology of Dothan IncGroup PAC ID 9436051877, 6 clinicians
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians
Alpenglow Womens Health LLCGroup PAC ID 7810336187, 4 clinicians

Practice addresses (Care Compare)

1458 Whatley Dr
Dothan, AL 36303-6902
Phone (334) 671-9445

3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone (907) 357-9590

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
236245AKMDObstetrics & Gynecology Physician
44555ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics & Gynecology of Dothan Inc Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Alpenglow Womens Health LLC CurrentSince Mar 27, 2026 Accepting new patients
Medical Network of Alaska, LLC Current Accepting new patients
Medical Network of Alaska, LLC CurrentSince Oct 13, 2025 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Oct 13, 2025 Accepting new patients
Mat-Su Valley Medical Center LLC Past Accepting new patients
Triad of Alabama LLC Past Accepting new patients

Locations

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

3122 E Meridian Park Loop
Ste 3
Wasilla, AK 99654
Phone (907) 357-1113

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

1458 Whatley Dr
Dothan, AL 36303
Phone (334) 671-9445

614 N Main St
Ste Bc
Enterprise, AL 36330
Phone (334) 671-9447

Interoperability endpoints

  • Direct secure messaging: emily.peterson.1@27294.direct.athenahealth.com

Organizations & group practices 7

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 1

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1285130617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 E MERIDIAN PARK LOOP STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547255",
            "telephone_number": "907-357-1113",
            "fax_number": "907-357-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 E MERIDIAN PARK LOOP STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547255",
            "telephone_number": "907-357-1113",
            "fax_number": "907-357-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1458 Whatley Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363031994",
            "country_code": "US",
            "telephone_number": "334-671-9445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "EMILY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "44555",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "236245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.