NPIMap

Individual provider Active NPI

Peggy S Christianson, APRN

  • Family Nurse Practitioner
  • Lakewood, WI
National Provider Identifier
1053608992
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4429 Issued in WI
Practice address
15397 State Highway 32
Lakewood, WI 54138-9702
Phone
(715) 276-6321
NPI assigned
Jun 29, 2011
Last updated
Mar 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4429 WI Primary

Addresses

Primary practice location

15397 State Highway 32
Lakewood, WI 54138-9702

Mailing address

17166 Rudy Rd
Townsend, WI 54175-9635
Phone (715) 850-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000220 WI Practitioner - Nurse Practitioner 3375712904 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

15481 Commercial Rd
Lakewood, WI 54138-9677
Phone (715) 276-9048

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

3200 Shore Dr
Marinette, WI 54143-4202
Phone (715) 732-1392

441 French St
Peshtigo, WI 54157-1203
Phone (715) 582-9949

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Feb 4, 2020 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 23, 2017 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 27, 2015 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Feb 4, 2020 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Family CurrentSince Jul 27, 2015 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Aug 23, 2017 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2015 Shawano Ave
Howard, WI 54303
Phone (920) 496-8110

15481 Commercial Rd
Ste E
Lakewood, WI 54138
Phone (715) 276-9048

3200 Shore Dr
Marinette, WI 54143
Phone (715) 732-8610

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

441 French St
Peshtigo, WI 54157
Phone (715) 582-3622

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: pchristianson48546@direct.thedacare.org
  • Direct secure messaging: pchristianson926054@direct.emplifyhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1053608992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17166 RUDY RD",
            "city": "TOWNSEND",
            "state": "WI",
            "postal_code": "541759635",
            "telephone_number": "715-850-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15397 STATE HIGHWAY 32",
            "city": "LAKEWOOD",
            "state": "WI",
            "postal_code": "541389702",
            "telephone_number": "715-276-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "PEGGY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WI

Sources for this page

Verify at the official NPI Registry.