Brenna Ann Peters, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

15700-33 Issued in WI

Practice address

711 W Adams St
Black River Falls, WI 54615-5052

Phone

(715) 284-5361

NPI assigned

Sep 6, 2024

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Black River Memorial Hospital Hospital, Black River Falls, WI, CCN 521333

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331
  Medicare reassignment Care Compare group NPD
• Black River Health Inc

  dba Black River Healthcare Clinic

  • Rural Health Clinic/Center
  • Black River Falls, WI
  • NPI 1255183182
  NPD
• Black River Health Inc

  • Oxygen Equipment & Supplies (DME)
  • Black River Falls, WI
  • NPI 1285782250
  NPD

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

• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331
  Care Compare affiliation

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1205661402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7780 N LOWE CREEK RD",
            "city": "HIXTON",
            "state": "WI",
            "postal_code": "546358711",
            "telephone_number": "715-579-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W ADAMS ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546155052",
            "telephone_number": "715-284-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "BRENNA",
        "middle_name": "ANN",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15700-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Oostdyk, PTA
• Tina Louise Opelt, RN MS CS FNP
• Jerry V Overman, D.D.S.
• Suchita Hardik Patel
• Jacob Peloquin, OT
• Danielle Louise Peterson, DDS
• PFHN, LLC (Family Heritage Nursing & Rehabilitation Center)
• Pineview Nursing Home (Pineview Care Center)
• John Pleugers, M.A. LPC
• Jeffrey K Polzin, M.D.

• Family Nurse Practitioner in Black River Falls, WI
• Providers in Black River Falls, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.