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DR. TARA PETERSEN M.D.
NPI 1427255785
Pediatrics - Pediatric Critical Care Medicine in Milwaukee, WI

Active since June 29, 2007PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, MS 681, MILWAUKEE, WI 53226(414) 266-3360(414) 266-3563 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Tara Petersen M.d. NPPES

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

DR. TARA PETERSEN M.D. (NPI 1427255785) is an individual pediatric critical care medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (61162) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427255785
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. TARA PETERSENCredential: M.D.
Location Address9000 W WISCONSIN AVE, MS 681Milwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin Ave, Ms 681Milwaukee, WI 53226-4874 · (414) 266-3360 · Fax (414) 266-3563
Phone(414) 266-3360
Fax(414) 266-3563
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateDecember 2, 2019
✔ NPI 1427255785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in WI · 61162
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License MT189036 (PA)
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Other Identifiers 1

Medicaid1427255785WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare).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)

Dr. Tara Petersen 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Petersen's NPI number?

The NPI number for Tara Petersen is 1427255785. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Tara Petersen located?

Tara Petersen practices at 9000 W Wisconsin Ave Ms 681, Milwaukee, WI 53226. The listed phone number is (414) 266-3360.

What is Tara Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Tara Petersen enrolled in Medicare?

Yes. Tara Petersen is registered in the Medicare PECOS enrollment system.

What insurance does Tara Petersen accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Tara 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 Tara Petersen was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.