Jane E. Peterson-Kattenbraker, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

42701 Issued in WI

Practice address

1040 Division St
Mauston, WI 53948-1931

Phone

(608) 847-5000

NPI assigned

Sep 30, 2005

Last updated

Jul 8, 2007By 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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mile Bluff Medical Center Inc

  dba Mile Bluff ER/UC Providers

  • Emergency Medicine Physician
  • Mauston, WI
  • NPI 1609912005
  Medicare reassignment NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff Urgent Care

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683
  NPD
• Mile Bluff Medical Center Inc

  dba Mile Bluff Mauston Clinic

  • Rural Health Clinic/Center
  • Mauston, WI
  • NPI 1881930527
  NPD

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245227719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 DIVISION ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "539481931",
            "telephone_number": "608-847-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-KATTENBRAKER",
        "first_name": "JANE",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "42701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34272600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B Patel, RN
• Karen M Patton, PT
• Michael L Pech, MD
• Rachel Peer, PT
• Katy Peerenboom
• Phillips Drug Store
• Phillips Drug Store, Inc.
• Phillips Total Care Pharmacy Inc.
• Pine Valley Integrated Services LLC
• Pine Valley Residential Services

• Family Medicine Physician in Mauston, WI
• Providers in Mauston, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.