Individual provider Active NPI

Karen A Peterson, M.D.

  • Anesthesiology Physician
  • Kenosha, WI
National Provider Identifier
1699091215
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
67282-20 Issued in WI
Practice address
10400 75TH St
Kenosha, WI 53142-8323
Phone
(262) 948-5600
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036122842 IL
Anesthesiology Physician 207L00000X 67282-20 WI Primary

Addresses

Primary practice location

10400 75TH St
Kenosha, WI 53142-8323

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

5140 N California Ave
SCH Dept of Anesthesiology
Chicago, IL 60625-3645
Phone (773) 878-8200

Other identifiers 1

IdentifierTypeStateIssuer
100066551MedicaidWI

Other names 1

  • Dr. Karen A Publ Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kpeterson426669@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20110110000583 IL Practitioner - Anesthesiology 2769671569 Reassigns benefits to 3 organizations
I20170511000567 WI Practitioner - Anesthesiology 2769671569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67282-20WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Anesthesia LLC Anesthesiology CurrentSince Jun 17, 2018 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Jan 23, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Pri Chicago PLLC CurrentSince Jan 11, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jan 31, 2025 Accepting new patients
Adventist Health Partners,Inc CurrentSince Jan 23, 2023 Accepting new patients
Physician Anesthesia Associates, S.C. Anesthesiology Past Accepting new patients

Locations

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

6495 S 27th St
Franklin, WI 53132
Phone (414) 574-0253

119 Elizabeth Ln
Genoa City, WI 53128
Phone (224) 678-1080

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

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

Interoperability endpoints

  • Direct secure messaging: kpeterson426669@direct.myadvocateaurora.org
  • Direct secure messaging: kpeterson1240978@adventhealth.direct-ci.com

Organizations & group practices 10

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 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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1699091215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531428323",
            "telephone_number": "262-948-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5140 N California Ave",
            "address_2": "SCH Dept of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "773-878-8200",
            "fax_number": "773-989-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAREN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036122842",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "67282-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066551",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpeterson426669@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10400 75th St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531428323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "10400 75th St",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531428323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PUBL",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

Verify at the official NPI Registry.