MICHELLE K PETERSEN NP
NPI 1700041472
Nurse Practitioner in Two Rivers, WI

Active since July 22, 2008PECOS Enrolled
5300 MEMORIAL DR, TWO RIVERS, WI 54241(920) 793-7400 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 30, 2021, Feb 12, 2020, Nov 12, 2019 and 1 more (4 updates tracked since 2018).

About Michelle K Petersen Np NPPES

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

MICHELLE K PETERSEN NP (NPI 1700041472) is an individual nurse practitioner in Two Rivers, Wisconsin, licensed in Wisconsin (8589-033) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700041472
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE K PETERSENCredential: NP
Location Address5300 MEMORIAL DRTwo Rivers, WI 54241
Mailing Address5300 Memorial DrTwo Rivers, WI 54241-3923 · (920) 793-7400
Sole ProprietorNo
Enumeration DateJuly 22, 2008
Last NPPES UpdateNovember 30, 20214 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
NPI 1700041472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WI · 8589-033
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 8589-33 (WI)
5300 MEMORIAL DR, Two Rivers, WI 54241

Other Identifiers 1

Medicaid100080774WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michelle K Petersen Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 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 20

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

Nurse Practitioner
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Audiologist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Pharmacist
5300 MEMORIAL DR, SUITE 103
TWO RIVERS, WI 54241
Occupational Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Physical Therapy Assistant
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Registered Nurse (Diabetes Educator)
5300 MEMORIAL DR
TWO RIVERS, WI 54241
Occupational Therapist
5300 MEMORIAL DR
TWO RIVERS, WI 54241

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 Michelle Petersen's NPI number?

The NPI number for Michelle Petersen is 1700041472. It was assigned to this individual provider in the NPPES registry on July 22, 2008.

Where is Michelle Petersen located?

Michelle Petersen practices at 5300 Memorial Dr, Two Rivers, WI 54241. The listed phone number is (920) 793-7400.

What is Michelle Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Petersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Petersen was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.