Traci L. Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3064 Issued in WI

Practice address

346 2ND St
Reedsburg, WI 53959-1611

Phone

(608) 524-9600

Fax

(608) 524-4792

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Chiropractic Office SCGroup PAC ID 8628171105, 4 clinicians

Richland Chiropractic ClinicGroup PAC ID 7012350044, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Richland Hospital

  • Rural Health Clinic/Center
  • Richland Center, WI
  • NPI 1063404341

  Corporate Director

  CMS ownership
• Richland Hospital

  • Rural Health Clinic/Center
  • Muscoda, WI
  • NPI 1437141710

  Corporate Director

  CMS ownership
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273

  Corporate Director

  CMS ownership
• Richland Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Richland Center, WI
  • NPI 1821028440

  Corporate Director

  CMS ownership
• Richland Hospital

  • Rural Health Clinic/Center
  • Spring Green, WI
  • NPI 1952094138

  Corporate Director

  CMS ownership

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

• Anderson Chiropractic Office, SC

  • Chiropractor
  • Mauston, WI
  • NPI 1063517605
  Medicare reassignment Care Compare group NPD
• Richland Chiropractic Clinic

  • Chiropractor
  • Richland Center, WI
  • NPI 1841972726
  Medicare reassignment Care Compare group NPD
• Patrick M Murphy, DC

  • Chiropractor
  • Richland Center, WI
  • NPI 1861417511

  WI

  Medicare reassignment
• Reedsburg Chiropractic Clinic

  • Chiropractor
  • Reedsburg, WI
  • NPI 1811131642
  NPD (past) Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1295836252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 VIKING DR",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591675",
            "telephone_number": "608-524-2616",
            "fax_number": "608-524-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 2ND ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591611",
            "telephone_number": "608-524-9600",
            "fax_number": "608-524-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TRACI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38876900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Pardee, DPT
• Nicky Pasholk, PHARM D
• Patricia Passehl, APNP, FNP-C
• Diane S Pautzke
• Delaney Peterson
• Michelle Petkovsek, RDN, CD
• Jessica Phalen, RN
• Katie M Porter, PA-C, ATC
• Danielle Powell
• Powerback Rehabilitation LLC

• All providers in Reedsburg, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.