MR. TODD DENNIS PETERSEN CRNA
NPI 1902082563
Nurse Anesthetist, Certified Registered in New Richmond, WI

Q: What is Todd Petersen's NPI number?

The NPI number for Todd Petersen is 1902082563. It was assigned to this individual provider in the NPPES registry on January 14, 2008.

Q: What is Todd Petersen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Petersen was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 14, 2008Accepts Medicare Assignment

130 S KNOWLES AVE, NEW RICHMOND, WI 54017(715) 246-3018(715) 246-3019 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Todd Dennis Petersen Crna NPPES

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

MR. TODD DENNIS PETERSEN CRNA (NPI 1902082563) is an individual nurse anesthetist, certified registered in New Richmond, Wisconsin, licensed in Wisconsin (078545) and active in the NPI registry since January 2008. He is affiliated with Amery Hospital & Clinic, maintains a secondary practice location in Deer Park, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902082563

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. TODD DENNIS PETERSENCredential: CRNA

Location Address130 S KNOWLES AVENew Richmond, WI 54017-1727

Mailing Address2659 170th AveEmerald, WI 54013-8140 · (715) 265-7425

Phone(715) 246-3018

Fax(715) 246-3019

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 14, 2008

Last NPPES UpdateApril 18, 2019

✔ NPI 1902082563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 078545

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

130 S KNOWLES AVE, New Richmond, WI 54017

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Secondary Practice Location 1

Location 12302 Highway 46 # 159Deer Park, WI 54007-7501 · Phone (715) 269-5530

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Todd Dennis Petersen 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.

PECOS PAC ID2062599558

PECOS Enrollment IDI20080408000684

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

27 services27 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521308

Location265 Griffin Street EastAmery, WI 54001 · Polk County

Emergency services Birthing friendly

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521347

Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54017 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

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 10

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

MR. KEITH CHARLES WERLINGER CRNA

Nurse Anesthetist, Certified Registered