Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. DEBORAH J. PETERSEN MD
NPI 1770558199
Pediatrics - Adolescent Medicine in Waukesha, WI

Active since February 20, 2006
1111 DELAFIELD ST, SUITE 115, WAUKESHA, WI 53188(262) 542-2536(262) 542-2791 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Deborah J. Petersen Md NPPES

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

DR. DEBORAH J. PETERSEN MD (NPI 1770558199) is an individual adolescent medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (31076) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1770558199
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. DEBORAH J. PETERSENCredential: MD
Location Address1111 DELAFIELD ST, SUITE 115Waukesha, WI 53188-3417
Mailing Address1111 Delafield St, Suite 115Waukesha, WI 53188-3417 · (262) 542-2536 · Fax (262) 542-2791
Fax(262) 542-2791
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1770558199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in WI · 31076
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1111 DELAFIELD ST, Waukesha, WI 53188

Other Identifiers 1

Medicaid23059300WI

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.

Ophthalmology
1111 DELAFIELD ST, SUITE 312
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD ST, SUITE 209
WAUKESHA, WI 53188
Specialist/Technologist (Athletic Trainer)
1111 DELAFIELD ST, STE 120
WAUKESHA, WI 53188
Clinic/Center (Radiology)
1111 DELAFIELD ST
WAUKESHA, WI 53188
Dentist (General Practice)
1111 DELAFIELD ST, #319
WAUKESHA, WI 53188
Nurse Practitioner (Family)
1111 DELAFIELD ST, SUITE 215
WAUKESHA, WI 53188
Physician Assistant
1111 DELAFIELD ST, STE 209
WAUKESHA, WI 53188
Physical Therapist
1111 DELAFIELD ST, SUITE 120
WAUKESHA, WI 53188

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 Deborah Petersen's NPI number?

The NPI number for Deborah Petersen is 1770558199. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Deborah Petersen located?

Deborah Petersen practices at 1111 Delafield St Suite 115, Waukesha, WI 53188. The listed phone number is (262) 542-2536.

What is Deborah Petersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Deborah Petersen was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.