Individual provider Active NPI

Amy Lynn Hering Peterson, M.D.

  • Pediatric Cardiology Physician
  • Madison, WI
National Provider Identifier
1679649123
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
48928-020 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-0001
Phone
(608) 263-6420
Fax
(608) 265-8065
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 48928-020 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531
Phone (608) 829-5485

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address apeterson480733@direct.uwhealth.org
Direct Messaging Address apeterson146585@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101008001297 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 9830381763 Reassigns benefits to 9 organizations
I20141203001433 IL Practitioner - Cardiovascular Disease (Cardiology) 9830381763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Pediatric Medicine
Education
University of Wisconsin School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48928-020WIMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jun 1, 2023 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 1, 2014 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 1, 2010 Accepting new patients
Swedishamerican Hospital CurrentSince Oct 1, 2014 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jun 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 1, 2015 Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 1, 2015 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Jun 1, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Lakeshore Medical Clinic LTD CurrentSince Jan 1, 2016 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jul 1, 2015 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 1, 2010 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jun 1, 2023 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jan 1, 2016 Accepting new patients
Aurora Health Care North, Inc. CurrentSince Oct 1, 2014 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

975 Port Washington Rd
Grafton, WI 53024
Phone (262) 329-1000

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1821 S Webster Ave
Green Bay, WI 54301
Phone (920) 431-1850

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

1675 Highland Ave
Madison, WI 53792
Phone (608) 263-6420

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

N84W16889 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 251-7500

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

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

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

5000 Memorial Dr
Two Rivers, WI 54241
Phone (920) 794-5000

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

1821 N 4th Ave
Wausau, WI 54401
Phone (715) 675-9451

Interoperability endpoints

  • Direct secure messaging: apeterson480733@direct.uwhealth.org
  • Direct secure messaging: apeterson52049@direct.aspirus.org

Organizations & group practices 22

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 22

Hospital & facility affiliations 1

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1679649123",
    "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",
            "telephone_number": "608-829-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-6420",
            "fax_number": "608-265-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMY",
        "middle_name": "LYNN HERING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WI",
            "license": "48928-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeterson480733@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1675 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeterson146585@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.