MR. MICHAEL ANDREW PETERSON
NPI 1023087046
Nurse Anesthetist, Certified Registered in Ashland, WI

Active since March 14, 2006
1615 MAPLE LANE, ASHLAND, WI 54806(715) 682-4563(715) 685-5108 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Michael Andrew Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL ANDREW PETERSON (NPI 1023087046) is an individual nurse anesthetist, certified registered in Ashland, Wisconsin, licensed in Wisconsin (80086030) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1023087046
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. MICHAEL ANDREW PETERSON
Location Address1615 MAPLE LANEAshland, WI 54806
Mailing AddressPo Box 1547Sedalia, MO 65307 · (660) 826-5960 · Fax (660) 826-4852
Fax(715) 685-5108
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1023087046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in WI · 80086030
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1615 MAPLE LANE, Ashland, WI 54806

Other Identifiers 1

Medicaid44320400WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1615 MAPLE LANE
ASHLAND, WI 54806
Physician Assistant
1615 MAPLE LANE
ASHLAND, WI 54806
Physician Assistant
1615 MAPLE LANE
ASHLAND, WI 54806
Family Medicine
1615 MAPLE LANE
ASHLAND, WI 54806
Obstetrics & Gynecology
1615 MAPLE LANE
ASHLAND, WI 54806
Registered Nurse
1615 MAPLE LANE, MEMORIAL MEDICAL CENTER INC BEHAVIORAL HEALTH SERVICE
ASHLAND, WI 54806
Family Medicine
1615 MAPLE LANE
ASHLAND, WI 54806
Emergency Medicine
1615 MAPLE LANE
ASHLAND, WI 54806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1023087046. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Michael Peterson located?

Michael Peterson practices at 1615 Maple Lane, Ashland, WI 54806. The listed phone number is (715) 682-4563.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.