Active NPI
Kaitlin Peace, MD
- Surgery Physician
- Palmer, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 172871
- Practice address
- 425 E Dahlia Ave Ste J
Palmer, AK 99645-6463 - Phone
- (907) 746-1520
- Fax
- (907) 746-1521
- NPI assigned
- Mar 24, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 85060 | WI | |
| Surgery Physician | 208600000X | 010259555 | VA | |
| General Practice Physician | 208D00000X | 010259555 | VA | |
| Surgery Physician | 208600000X | 172871 | AK | Primary |
Addresses
Primary practice location
425 E Dahlia Ave Ste J
Palmer, AK 99645-6463
Mailing address
PO Box 75032
Chicago, IL 60675-5032
Phone (907) 746-1520
Other practice location 1
2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 858-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Boston University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 E Dahlia Ave
Suite J
Palmer, AK 99645-6463
Phone (907) 746-1520
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.59 of 100
- Quality
- 83.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 16.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.93 of 100
- Quality
- 70.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.01
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 20 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172871 | AK | MD | Surgery Physician |
| 85060 | WI | MD | Surgery Physician |
| 010259555 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Single Specialty | Current | Accepting new patients |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Glacier Surgical Associates, Inc | Single Specialty | Current | Accepting new patients |
| South Peninsula Hospital, Inc. | Single Specialty | Current | Accepting new patients |
| Memorial Hospital Inc | Single Specialty | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Single Specialty | Current | Accepting new patients |
| Flambeau Hospital Inc | Single Specialty | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Single Specialty | Current | Accepting new patients |
| Alaska Native Tribal Health Consortium | Single Specialty | Current | Accepting new patients |
| MCHS Hospitals Inc | Single Specialty | Current | Accepting new patients |
| MCHS Hospitals Inc | Single Specialty | Current | Accepting new patients |
| Flambeau Hospital Inc | Single Specialty | Current | Accepting new patients |
| Marshfield Clinic Inc | Single Specialty | Current | Accepting new patients |
| South Peninsula Hospital, Inc | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Past | Accepting new patients |
Locations
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369
425 E Dahlia Ave
Ste J
Palmer, AK 99645
Phone (907) 745-8379
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf
- kaitlin.peace.1@14977.direct.athenahealth.com
Organizations & group practices 18
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.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1437189339
Single Specialty, TX
-
- Critical Access Hospital
- Homer, AK
- NPI 1093968372
-
- Home Health Agency
- Homer, AK
- NPI 1164400750
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
Single Specialty
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
Single Specialty
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
Single Specialty
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
Single Specialty
-
dba Marshfield Medical Center - Rice Lake Outreach Services
- Clinic/Center
- Rice Lake, WI
- NPI 1790320687
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1659798049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75032",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606755032",
"telephone_number": "907-746-1520",
"fax_number": "907-746-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 E DAHLIA AVE STE J",
"city": "PALMER",
"state": "AK",
"postal_code": "996456463",
"telephone_number": "907-746-1520",
"fax_number": "907-746-1521"
}
],
"practiceLocations": [
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016118",
"country_code": "US",
"telephone_number": "715-858-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACE",
"first_name": "KAITLIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "85060",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "010259555",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "010259555",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AK",
"license": "172871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.