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JERALD MILES PETERSEN MD
NPI 1649209032
Hospitalist in Mount Horeb, WI

Active since June 30, 2006
1275 LINDOKKEN RD STE 315, MOUNT HOREB, WI 53572(000) 000-0000 Get Directions Write a Review

NPPES record last updated: February 13, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 13, 2022, Jan 22, 2021, Nov 15, 2017 and 1 more (4 updates tracked since 2016).

About Jerald Miles Petersen Md NPPES

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

JERALD MILES PETERSEN MD (NPI 1649209032) is an individual hospitalist provider in Mount Horeb, Wisconsin, licensed in Wisconsin (64866) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1649209032
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJERALD MILES PETERSENCredential: MD
Location Address1275 LINDOKKEN RD STE 315Mount Horeb, WI 53572-9701
Mailing Address1275 Lindokken RdMount Horeb, WI 53572-9701
Phone(000) 000-0000
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateFebruary 13, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2022
✔ NPI 1649209032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 64866
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1275 LINDOKKEN RD STE 315, Mount Horeb, WI 53572
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Other Identifiers 1

Medicaid732880000MN

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 Jerald Petersen's NPI number?

The NPI number for Jerald Petersen is 1649209032. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jerald Petersen located?

Jerald Petersen practices at 1275 Lindokken Rd Ste 315, Mount Horeb, WI 53572. The listed phone number is (000) 000-0000.

What is Jerald Petersen's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Jerald Petersen was last updated on February 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.