Active NPI
Amber N Petersen Kuemmel, RN, CRNA
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 089867
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (920) 288-3388
- Fax
- (920) 288-3370
- NPI assigned
- Nov 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 159301 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 089867 | WI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
6235 Pine Grove Rd
Luxemburg, WI 54217-9350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598042285 | Medicaid | WI |
Other names 1
- Amber N Petersen
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | apetersenkuemmel68224@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000372 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729247861 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nurse Anesthesia Professional Services LLCAspirus Medford Hospital and Clinics IncAurora Medical Group, Inc.Green Bay Anesthesia Assoc. SC
Practice addresses (Care Compare)
1077 W Mason St
Green Bay, WI 54303-1858
Phone (920) 497-1810
135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8100
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 433-0111
Hospital & facility affiliations
- Aurora Medical Center Bay Area
- Aurora Medical Center Sheboygan County
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159301 | WI | MD | Registered Nurse |
| 089867 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Clinic LLP | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Nurse Anesthesia Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Green Bay Surgical Center | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
2845 Greenbrier Rd
#4
Green Bay, WI 54311
Phone (920) 288-8400
1077 W Mason St
Green Bay, WI 54303
Phone (920) 497-1810
1035 Kepler Dr
Green Bay, WI 54311
164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
704 S Webster Ave
Ste 301
Green Bay, WI 54301
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
1500 Arbor Way
Kaukauna, WI 54130
Phone (877) 229-2273
4061 Old Peshtigo Rd
Marinette, WI 54143
Phone (715) 732-8000
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Bin 88263
Milwaukee, WI 53288
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
425 S Commercial St
Neenah, WI 54956
Phone (920) 725-0700
719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066
Organizations & group practices 17
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.
-
- Certified Registered Nurse Anesthetist
- Green Bay, WI
- NPI 1992066518
Nurse Anesthetist, Certified Registered, WI
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered, WI
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
-
- Skilled Nursing Facility
- Medford, WI
- NPI 1033291000
-
- Rural Health Clinic/Center
- Medford, WI
- NPI 1427140649
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Medford, WI
- NPI 1558511295
-
- Rural Health Clinic/Center
- Prentice, WI
- NPI 1710066584
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sheboygan, WI
- NPI 1902023955
Hospital
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
Hospital
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1598042285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6235 PINE GROVE RD",
"city": "LUXEMBURG",
"state": "WI",
"postal_code": "542179350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "920-288-3388",
"fax_number": "920-288-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN KUEMMEL",
"first_name": "AMBER",
"middle_name": "N",
"credential": "RN, CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-08",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "159301",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "089867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598042285",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apetersenkuemmel68224@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMBER",
"last_name": "PETERSEN",
"middle_name": "N",
"credential": "RN, CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.