PETER ROTTER CRNA
NPI 1508979691
Nurse Anesthetist, Certified Registered in Manitowoc, WI
About Peter Rotter Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER ROTTER CRNA (NPI 1508979691) is an individual nurse anesthetist, certified registered in Manitowoc, Wisconsin, licensed in Wisconsin (275433) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Peter Rotter Crna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Peter Rotter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 clinicians in this Medicare group
Brookfield, WI 53045
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Brookfield Anesthesiologists Sc
- 31 clinicians in this Medicare group
Franklin, WI 53132
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Family Memorial
Acute Care Hospitals · Manitowoc, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MANITOWOC, WI 54220
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 Peter Rotter's NPI number?
The NPI number for Peter Rotter is 1508979691. It was assigned to this individual provider in the NPPES registry on August 16, 2006.
Where is Peter Rotter located?
Peter Rotter practices at 2300 Western Ave, Manitowoc, WI 54220. The listed phone number is (920) 320-2249.
What is Peter Rotter's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Peter Rotter enrolled in Medicare?
Yes. Peter Rotter 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 organizations bill Medicare for Peter Rotter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Rotter reassigns Medicare benefits to 3 organizations: Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), Brookfield Anesthesiologists, S.C. (Brookfield, WI) and Andisthesia LLC (Franklin, 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 Peter Rotter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Peter Rotter affiliated with any hospitals?
According to CMS data, Peter Rotter is affiliated with Holy Family Memorial.
When was this NPI record last updated?
The NPPES record for Peter Rotter was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Peter Rotter, CRNA · NPI 1508979691
Nurse Anesthetist, Certified Registered physician in Manitowoc, Wisconsin. Individual provider, active in the CMS NPPES registry since August 16, 2006.
## Identity
- **NPI:** 1508979691 (Entity type: Individual)
- **Enumerated:** August 16, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 275433 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 WESTERN AVE, Manitowoc, WI 54220-3712
- **Phone:** (920) 320-2249 · **Fax:** (920) 320-3529
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Froedtert Manitowoc Medical Group, LLC (NPI 1437829975, Manitowoc, WI); Brookfield Anesthesiologists, S.C. (NPI 1942257902, Brookfield, WI); Andisthesia LLC (NPI 1881303964, Franklin, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 15, 2025
- **Other identifiers:** Medicaid 43361800 (WI); Other P00163391 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1508979691) · Data from the CMS NPPES public registry.