Individual provider Active NPI

Daisy Elizabeth Peterson, PA-C

  • Physician Assistant
  • Farmerville, LA
National Provider Identifier
1881573269
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2545 Highway 828
Farmerville, LA 71241-5303
Phone
(318) 607-4393
NPI assigned
Aug 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 Primary

Addresses

Primary practice location

2545 Highway 828
Farmerville, LA 71241-5303

Mailing address

2545 Highway 828
Farmerville, LA 71241-5303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20251107003460 LA Practitioner - Physician Assistant 2668962507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital, Inc.Group PAC ID 9638063944, 26 clinicians

Practice addresses (Care Compare)

411 Main St
Columbia, LA 71418-6704
Phone (318) 649-6111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Oct 1, 2025 Accepting new patients
Caldwell Memorial Hospital Inc Past Accepting new patients

Locations

6619 Highway 34
Chatham, LA 71226
Phone (318) 249-2743

411 Main St
Columbia, LA 71418
Phone (318) 649-6111

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

Organizations & group practices 3

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 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": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1881573269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 HIGHWAY 828",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712415303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HIGHWAY 828",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712415303",
            "telephone_number": "318-607-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DAISY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmerville, LA

Sources for this page

Verify at the official NPI Registry.