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AMY K PETERSDORF MA
NPI 1235434176
Counselor - Professional in Wauwatosa, WI

Active since January 25, 2011PECOS Enrolled
10702 W BURLEIGH ST, WAUWATOSA, WI 53222(414) 777-0740(414) 777-0749 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy K Petersdorf Ma NPPES

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

AMY K PETERSDORF MA (NPI 1235434176) is an individual professional provider in Wauwatosa, Wisconsin, licensed in Wisconsin (4667-125) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1235434176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMY K PETERSDORFCredential: MA
Location Address10702 W BURLEIGH STWauwatosa, WI 53222-3310
Mailing Address10702 W Burleigh StWauwatosa, WI 53222-3310 · (414) 777-0740 · Fax (414) 777-0749
Phone(414) 777-0740
Fax(414) 777-0749
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 25, 2011
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1235434176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4667-125
10702 W BURLEIGH ST, Wauwatosa, WI 53222
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), 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 (PECOS)

Amy K Petersdorf Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476023599
PECOS Enrollment IDI20260529000646
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.

Other Providers at the Same Location NPPES 8

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

DANIELLE S CARLSON MSW
Social Worker (Clinical)
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 777-0740
DR. MARLEE WILLIAMS DC
Chiropractor
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 212-5758
LINDSEY MICHELLE MEJCHAR MS
Counselor (Professional)
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 777-0740
CONNECT CHIROPRACTIC LLC
Chiropractor
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 212-5758
GARY L ROMUALD MSW
Social Worker (Clinical)
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 777-0740
DR. AUSTIN MICHAEL DC
Chiropractor
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 212-5758
JULIANNE WITTHUHN MS
Counselor (Professional)
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 777-0740
DR. ALEXANDER YOUNG DC
Chiropractor
10702 W BURLEIGH ST
WAUWATOSA, WI 53222
Milwaukee County (414) 212-5758

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 Amy Petersdorf's NPI number?

The NPI number for Amy Petersdorf is 1235434176. It was assigned to this individual provider in the NPPES registry on January 25, 2011.

Where is Amy Petersdorf located?

Amy Petersdorf practices at 10702 W Burleigh St, Wauwatosa, WI 53222. The listed phone number is (414) 777-0740.

What is Amy Petersdorf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amy Petersdorf enrolled in Medicare?

Yes. Amy Petersdorf is registered in the Medicare PECOS enrollment system.

What insurance does Amy Petersdorf accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and Network Health list Amy Petersdorf 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 Amy Petersdorf was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.