Individual provider Active NPI

Rita A Peterson, PA

  • Medical Physician Assistant
  • Madison, WI
National Provider Identifier
1508451980
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5492 Issued in WI
Practice address
451 Junction Rd
Madison, WI 53717-2656
Phone
(608) 263-5010
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 5492 WI Primary

Addresses

Primary practice location

451 Junction Rd
Madison, WI 53717-2656

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825001568 WI Practitioner - Physician Assistant 3173928470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1001 Nygaard St
Stoughton, WI 53589-5495
Phone (608) 877-2660

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 287-2770

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone (608) 798-3344

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770

3209 Dryden Dr
Madison, WI 53704-3015
Phone (608) 287-2770

4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741

451 Junction Rd
Madison, WI 53717-2656
Phone (608) 265-7700

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone (608) 914-0100

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

5543 E Cheryl Pkwy
Fitchburg, WI 53711-5376
Phone (608) 274-5300

5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

600 N 8TH St
Mount Horeb, WI 53572-1870
Phone (608) 287-2770

601 Handeyside LN
Fort Atkinson, WI 53538-1273
Phone (920) 563-5544

705 S University Ave
Suite 200
Beaver Dam, WI 53916-3079
Phone (920) 887-9272

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • Reedsburg Area Medical Center Hospital, Reedsburg, WI, CCN 521351
  • Richland Hospital Hospital, Richland Center, WI, CCN 521341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5492WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 10, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 27, 2021 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jul 10, 2023 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Aug 27, 2021 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

5249 E Terrace Dr
Madison, WI 53718
Phone (608) 222-9777

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

451 Junction Rd
Madison, WI 53717
Phone (608) 263-5010

W129N7055 Northfield Dr
Menomonee Falls, WI 53051
Phone (262) 251-5305

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1508451980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 JUNCTION RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537172656",
            "telephone_number": "608-263-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "RITA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "5492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.