Active NPI
Molly Peterson
- Diagnostic Radiology Physician
- St Francis, WI
National Provider Identifier
1346774726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 71793-20
- Practice address
- 2000 E Layton Ave
St Francis, WI 53235-6053 - Phone
- (414) 744-6589
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 71793-20 | WI | Primary |
Addresses
Primary practice location
2000 E Layton Ave
St Francis, WI 53235-6053
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (414) 774-6589
Other practice location 1
2639 University Ave Ste 201
Madison, WI 53705-3750
Phone (608) 263-0572
Other practice location 2
600 Highland Ave
Madison, WI 53792-3750
Phone (608) 263-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100069057 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mpeterson169608@direct.myadvocateaurora.org | Direct | |
| FHIR URL | mpeterson169608@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 E Layton Ave
Saint Francis, WI 53235-6053
Phone (414) 744-6589
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070
Hospital & facility affiliations
- Aurora St Lukes Medical Center
- West Allis Memorial Hospital
- Aurora Medical Center Kenosha
- Aurora Medical Center - Summit
- Aurora Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Group Health Cooperative of South Central Wisconsin | Current | Accepting new patients | |
| Fort Healthcare Inc | Family Medicine | Current | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Kenosha, WI
- NPI 1225156888
-
- General Acute Care Hospital
- Summit, WI
- NPI 1699008029
-
- General Acute Care Hospital
- Grafton, WI
- NPI 1265740195
-
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1346774726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "414-774-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E LAYTON AVE",
"city": "ST FRANCIS",
"state": "WI",
"postal_code": "532356053",
"telephone_number": "414-744-6589"
}
],
"practiceLocations": [
{
"address_1": "2639 University Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537053750",
"country_code": "US",
"telephone_number": "608-263-0572",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Highland Ave",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537923750",
"country_code": "US",
"telephone_number": "608-263-9729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "71793-20",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100069057",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mpeterson169608@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2000 E Layton Ave",
"city": "St Francis",
"state": "WI",
"country_code": "US",
"postal_code": "532356053",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "mpeterson169608@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2000 E Layton Ave",
"city": "St Francis",
"state": "WI",
"country_code": "US",
"postal_code": "532356053",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St Francis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.