Shawna Marie Peterson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1612233 Issued in WI

Practice address

512 S 28TH Ave
Wausau, WI 54401-4147

Phone

(715) 847-2021

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT and Allergy Associates SCGroup PAC ID 2062429608, 25 clinicians

Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.Group PAC ID 9335059856, shared by 17 NPIs, 566 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
• Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfinnegan105438@direct.aspirus.org

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.

• ENT & Allergy Associates, S.C.

  • Otolaryngology Physician
  • Wausau, WI
  • NPI 1255384301
  Medicare reassignment Care Compare group NPD

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

• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Practice Physician
  • Stevens Point, WI
  • NPI 1184082745

  Hospital

  Care Compare affiliation
• Aspirus Stevens Point Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1538112230
  Care Compare affiliation
• Aspirus Wausau Hospital Inc

  • Clinic/Center
  • Edgar, WI
  • NPI 1447580725

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital Inc

  • Dermatology Physician
  • Wausau, WI
  • NPI 1477883759

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc

  • Radiology Clinic/Center
  • Wausau, WI
  • NPI 1780014407

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • Rehabilitation Clinic/Center
  • Wausau, WI
  • NPI 1083955165

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • Family Medicine Physician
  • Stevens Point, WI
  • NPI 1275886749

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1356576490

  Hospital

  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Wausau, WI
  • NPI 1558363986
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Stevens Point, WI
  • NPI 1598375271
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • General Acute Care Hospital
  • Wausau, WI
  • NPI 1902923170
  Care Compare affiliation
• Aspirus Wausau Hospital, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1952921405

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1700693397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 MEADOWBROOK WAY",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544039329",
            "telephone_number": "715-573-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S 28TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014147",
            "telephone_number": "715-847-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1612233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter a Throm
• Amanda Marie Peterka, LCSW
• Jordan Peters, MS
• Christopher G Peterson, MD
• Madalyn Ann Peterson, LCSW
• Tracy Peterson, LPC
• Tristan Philip Peterson, CERTIFIED SURGICAL T
• Elizabeth Petesch
• Josip Petri, OTR/L
• John J Petronovich, M.D.

• Nurse Practitioner in Wausau, WI
• Providers in Wausau, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.

Verify at the official NPI Registry.