Sarah Jane Tyler-Peterson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

149027 Issued in WI

Practice address

1100 Bergslien St
Baldwin, WI 54002-2600

Phone

(715) 684-1111

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baldwin Area Medical Center IncGroup PAC ID 7911800586, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snichols290114@excellian.direct.allina.com

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.

• Baldwin Area Medical Center, Inc.

  • Critical Access Hospital
  • Baldwin, WI
  • NPI 1467496133
  Medicare reassignment Care Compare group NPD
• Baldwin Area Medical Center Inc.

  • Clinic/Center
  • Spring Valley, WI
  • NPI 1164272324
  NPD
• Baldwin Area Medical Center, Inc.

  • Rural Health Clinic/Center
  • Baldwin, WI
  • NPI 1336228865
  NPD

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1437817103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 CTY RD DD",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "54028",
            "telephone_number": "715-928-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER-PETERSON",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "149027",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "149027-32",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snichols290114@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 Bergslien St",
            "city": "Baldwin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540022600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eyuel Terefe, MD
• Marie Agatha Thomalla, LPN
• Gina Ann Thompson, OTR
• Dana Lynn Timmers, RPH
• Brooke Nicole Kopacz Tuttle, DPT
• Steven B Tyvoll, LPC
• Emily Veenendaal, PMHNP
• Christine L Veenendall
• Michael Veldhuis, LPCC, LADC
• Steven Allen Verbeek, M.D.

• Advanced Practice Midwife in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Advanced Practice Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.