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TARA PETERSON APNP
NPI 1144045444
Nurse Practitioner in Green Bay, WI

Active since November 21, 2024PECOS EnrolledAccepts Medicare Assignment
2654 S ONEIDA ST STOP 102, GREEN BAY, WI 54304(888) 938-3838 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2024, Nov 21, 2024 (2 updates tracked since 2024).

About Tara Peterson Apnp NPPES

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

TARA PETERSON APNP (NPI 1144045444) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (15899-33) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144045444
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA PETERSONCredential: APNP
Location Address2654 S ONEIDA ST STOP 102Green Bay, WI 54304-5337
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 838-3838 · Fax (888) 919-1083
Phone(888) 938-3838
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2024
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1144045444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 15899-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 197282-30 (WI)
2654 S ONEIDA ST STOP 102, Green Bay, WI 54304
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Other Names 1

Former Name (1)Tara Carstens

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Security Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Peterson Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547797318
PECOS Enrollment IDI20241218003452
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tara Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Ear Nose & Throat Specialists, Sc
97 mi
Plastic Surgery within the Head & Neck
2885 N MAYFAIR RD
Wauwatosa, WI 53222
  • Reassigned Medicare billing, Wisconsin enrollment
  • 17 clinicians in this Medicare group
NPI 1689782427 (888) 938-3838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. ANDREW JOHN VANBRUGGEN DO
Otolaryngology
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304
Brown County (888) 938-3838
DEBORAH LYNN DECKER APNP
Nurse Practitioner
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304
Brown County (888) 938-3838
DOUGLAS DAWSON MD
Otolaryngology
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 54304
Brown County (888) 938-3838

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 Tara Peterson's NPI number?

The NPI number for Tara Peterson is 1144045444. It was assigned to this individual provider in the NPPES registry on November 21, 2024. The provider is also known as Tara Carstens.

Where is Tara Peterson located?

Tara Peterson practices at 2654 S Oneida St Stop 102, Green Bay, WI 54304. The listed phone number is (888) 938-3838.

What is Tara Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Peterson enrolled in Medicare?

Yes. Tara Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tara Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Peterson reassigns Medicare benefits to Advanced Ear Nose & Throat Specialists, Sc (Wauwatosa, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tara Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Security Health Plan and UnitedHealthcare list Tara Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Peterson was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.