Peggy S Christianson, APRN
Individual provider Active NPI Family Nurse Practitioner · Lakewood, WI
NPI 1053608992 · NPPES record last updated Mar 11, 2013
Key facts
- NPI
- 1053608992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4429 (WI)
- Practice address
- 15397 State Highway 32
Lakewood, WI 54138-9702 - Phone
- (715) 276-6321
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center Inc
Bellin Memorial Hospital Inc
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
- Unity Hospice
- Bellin Memorial Hospital
- Langlade Hospital
- Bellin Health Oconto Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000220 | WI | Practitioner - Nurse Practitioner | 3375712904 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4429 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| The Howard Young Medical Center, Inc. | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current |
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
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Interoperability endpoints
- pchristianson48546@direct.thedacare.org
- pchristianson926054@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4429 | WI | Yes |
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
Other providers in Lakewood, WI
- Assure Family Practice LLC
- Stacey Lee Bisenius
- Katelyn Boney
- Janet M Dailey
- Melissa Day
- Muhammad Saadah Diab
- Gary A Donaldson
- Blake J Edinger
All providers in Lakewood, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.