Individual provider Active NPI

Amber N Petersen Kuemmel, RN, CRNA

  • Certified Registered Nurse Anesthetist
  • Green Bay, WI
National Provider Identifier
1598042285
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
089867 Issued in WI
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

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1598042285MedicaidWI

Other names 1

  • Amber N Petersen Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 6507012713, 8 clinicians
Aspirus Medford Hospital and Clinics IncGroup PAC ID 5799688602, 126 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
Green Bay Anesthesia Assoc. SCGroup PAC ID 4486613858, 70 clinicians

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 Hospital, Marinette, WI, CCN 520113
  • Aurora Medical Center Sheboygan County Hospital, Sheboygan, WI, CCN 520035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
159301WIMDRegistered Nurse
089867WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Clinic LLP CurrentSince Mar 12, 2012 Accepting new patients
Aurora Medical Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Mar 22, 2012 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Dec 1, 2021 Accepting new patients
Nurse Anesthesia Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Baycare Clinic LLP CurrentSince Mar 12, 2012 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 12, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jun 12, 2023 Accepting new patients
Green Bay Anesthesia Assoc. SC CurrentSince Apr 21, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 22, 2012 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.

View all 17

Hospital & facility affiliations 5

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": "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.

Verify at the official NPI Registry.