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DR. ELIZABETH MICHAEL PETERSON M.D.
NPI 1417958026
Pediatrics in Beaver Dam, WI

Active since August 04, 2005PECOS Enrolled
109 WARREN ST, SUITE 4, BEAVER DAM, WI 53916(920) 885-3305 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Elizabeth Michael Peterson M.d. NPPES

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

DR. ELIZABETH MICHAEL PETERSON M.D. (NPI 1417958026) is an individual pediatrics provider in Beaver Dam, Wisconsin, licensed in Wisconsin (46524-020) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417958026
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIZABETH MICHAEL PETERSONCredential: M.D.
Location Address109 WARREN ST, SUITE 4Beaver Dam, WI 53916-3082
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(920) 885-3305
Sole ProprietorNo
Enumeration DateAugust 4, 2005
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
✔ NPI 1417958026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 46524-020
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
109 WARREN ST, Beaver Dam, WI 53916
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Other Identifiers 1

Medicaid34638800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz 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 (PECOS)

Dr. Elizabeth Michael Peterson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Elizabeth Peterson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Agnesian Healthcare
1.0 mi
Mental Health (Including Community Mental Health Center)
200 FRONT ST, SUITE 3D
Beaver Dam, WI 53916
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1700817657 (920) 885-2780
University Of Wisconsin Medical Foundation, Inc
43 mi
Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
NPI 1598784555 (608) 829-5485

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 53916 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 2

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

RICHARD P. JENNINGS D.O. S. C.
Otolaryngology
109 WARREN ST
BEAVER DAM, WI 53916
Dodge County (920) 887-8646
DR. JESSICA L MIESFELD M.D.
Pediatrics
109 WARREN ST, STE 4
BEAVER DAM, WI 53916
Dodge County (920) 885-3305

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 Elizabeth Peterson's NPI number?

The NPI number for Elizabeth Peterson is 1417958026. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Elizabeth Peterson located?

Elizabeth Peterson practices at 109 Warren St Suite 4, Beaver Dam, WI 53916. The listed phone number is (920) 885-3305.

What is Elizabeth Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elizabeth Peterson enrolled in Medicare?

Yes. Elizabeth Peterson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Peterson reassigns Medicare benefits to 2 organizations: Agnesian Healthcare (Beaver Dam, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). Each 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 Elizabeth Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz and Security Health Plan list Elizabeth 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 Elizabeth Peterson was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.