Active NPI
Emily Peterson, MD
- Obstetrics & Gynecology Physician
- Wasilla, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 236245
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236245 | AK | MD | Obstetrics & Gynecology Physician |
| 44555 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrics & Gynecology of Dothan Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Alpenglow Womens Health LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | Accepting new patients | |
| Medical Network of Alaska, LLC | Current | 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
- 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.
-
- Obstetrics Physician
- Wasilla, AK
- NPI 1386511749
-
dba Capstone Urgent Care
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1538414834
-
dba Ladies First
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1114021409
-
dba MNA Laboratory
- Clinical Medical Laboratory
- Wasilla, AK
- NPI 1467167585
-
dba Resound ENT
- Otolaryngology Physician
- Anchorage, AK
- NPI 1922862986
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.