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DR. RUSSELL N PETERSEN D.C
NPI 1164550620
Chiropractor in Sheboygan, WI

Active since February 28, 2007Accepts Medicare Assignment
4027 S BUSINESS DR, SHEBOYGAN, WI 53081(920) 459-9090(920) 459-7426 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Russell N Petersen D.c NPPES

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

DR. RUSSELL N PETERSEN D.C (NPI 1164550620) is an individual chiropractor in Sheboygan, Wisconsin, licensed in Wisconsin (4058-012) and active in the NPI registry since February 2007. He is a graduate of Palmer College Chiropractic - Davenport (2004).

NPPES Registry Identity

NPI1164550620
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RUSSELL N PETERSENCredential: D.C
Location Address4027 S BUSINESS DRSheboygan, WI 53081-1261
Mailing Address4027 S Business DrSheboygan, WI 53081-1261 · (920) 459-9090 · Fax (920) 459-7426
Phone(920) 459-9090
Fax(920) 459-7426
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2004
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1164550620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4058-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4027 S BUSINESS DR, Sheboygan, WI 53081
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Other Identifiers 2

Medicare ID-Type Unspecified375030WI
Medicaid38834800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Russell N Petersen D.c 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 ID5698796449
PECOS Enrollment IDI20051208000626

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
250 services27 patients

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. STEVEN G SANTINO MD
Physical Medicine & Rehabilitation
4027 S BUSINESS DR, STE L02
SHEBOYGAN, WI 53081
Sheboygan County (262) 365-9572
DR. BRADLEY JAMES WIEGAND D.C.
Chiropractor
4027 S BUSINESS DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-9090
KIM DIETZ LMT
Massage Therapist
4027 S BUSINESS DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 207-4440

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 Russell Petersen's NPI number?

The NPI number for Russell Petersen is 1164550620. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Russell Petersen located?

Russell Petersen practices at 4027 S Business Dr, Sheboygan, WI 53081. The listed phone number is (920) 459-9090.

What is Russell Petersen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Russell Petersen enrolled in Medicare?

Yes. Russell Petersen 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.

What insurance does Russell Petersen accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Network Health and Quartz and 1 other insurer list Russell Petersen 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 Russell Petersen was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.