Active NPI
Katie L Peterson
- Certified Registered Nurse Anesthetist
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 13465-33
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5703 - Phone
- (715) 387-5511
- NPI assigned
- Apr 7, 2008
- Last updated
- May 6, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 13465-33 | WI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R53714 | ND | |
| Certified Registered Nurse Anesthetist | 367500000X | 490 | MN |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Mailing address
835 S Van Buren St
Green Bay, WI 54301-3526
Other practice location 1
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 857-0894
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100033154 | Medicaid | WI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | kpeterson150308@direct.myadvocateaurora.org | ||
| Direct Messaging Address | kpeterson150308@direct.myadvocateaurora.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, ND
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R53714 | ND | MD | Certified Registered Nurse Anesthetist |
| 13465-33 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Osms Anesthesia LLC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Green Bay Surgical Center | Past | Accepting new patients |
Locations
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026
1035 Kepler Dr
Green Bay, WI 54311
164 N Broadway
Green Bay, WI 54303
Phone (920) 965-4055
2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
704 S Webster Ave
Ste 301
Green Bay, WI 54301
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
933 Waube Ln
Green Bay, WI 54304
Phone (920) 548-9500
736 Ford St
Kimberly, WI 54136
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
Bin 88263
Milwaukee, WI 53288
1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
130 2nd St
#A107
Neenah, WI 54956
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1588609648
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1447017983
-
dba Sanford 1717 Medical Building
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
dba Aurora Medical Center Bay Area Clinical Medical Laboratory
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
dba Aurora Medical Center Bay Area
- Land Ambulance
- Marinette, WI
- NPI 1427135557
Hospital
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
dba Marshfield Medical Center
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1740453141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 S VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "835 S Van Buren St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013526",
"country_code": "US",
"telephone_number": "920-857-0894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "KATIE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "13465-33",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R53714",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "490",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100033154",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpeterson150308@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kpeterson150308@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "2845 Greenbrier Rd",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543116519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.