NPIMap

Individual provider Active NPI

Kristin T Peterson, APNP

  • Family Nurse Practitioner
  • Stevens Point, WI
National Provider Identifier
1619256906
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4479-33 Issued in WI
Practice address
500 Vincent St
Suite B
Stevens Point, WI 54481-1842
Phone
(715) 344-0702
Fax
(715) 544-4175
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4479-33 WI Primary

Addresses

Primary practice location

500 Vincent St
Suite B
Stevens Point, WI 54481-1842

Mailing address

500 Vincent St
Suite B
Stevens Point, WI 54481-1842
Phone (715) 344-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000524 WI Practitioner - Nurse Practitioner 8022289990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

425 Pine Ridge Blvd
Suite 300
Wausau, WI 54401-4124
Phone (715) 847-2070

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

  • Aspirus Riverview Hospital & Clinics Inc Hospital, Wisconsin Rapids, WI, CCN 520033
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019
  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Waypoint Spine, S.C. CurrentSince Jan 1, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 16, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 25, 2019 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 16, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 25, 2019 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

500 Vincent St
Ste B
Stevens Point, WI 54481
Phone (715) 344-0702

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 300
Wausau, WI 54401
Phone (715) 847-0402

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: kpeterson54089@direct.aspirus.org

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.

Hospital & facility affiliations 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1619256906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-344-0702",
            "fax_number": "715-544-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINCENT ST",
            "address_2": "SUITE B",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544811842",
            "telephone_number": "715-344-0702",
            "fax_number": "715-544-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KRISTIN",
        "middle_name": "T",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "4479-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.