Active NPI
Tiffany Lee Petersen
- Certified Registered Nurse Anesthetist
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11741
- Practice address
- 2116 Craig Rd
Eau Claire, WI 54701-6118 - Phone
- (715) 858-4500
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 137670 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 11741 | WI | Primary |
Addresses
Primary practice location
2116 Craig Rd
Eau Claire, WI 54701-6118
Mailing address
2116 Craig Rd
Eau Claire, WI 54701-6118
Other practice location 1
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
Other practice location 2
18606 Ervin St
Whitehall, WI 54773-8613
Phone (715) 538-4355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
2116 Craig Rd
Eau Claire, WI 54701-6149
Phone (715) 858-4500
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Marshfield Medical Center - Eau Claire
- River Falls Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11741 | WI | MD | Certified Registered Nurse Anesthetist |
| 137670 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Allina Health System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| North American Partners in Anesthesia Wisconsin SC | Current | Accepting new patients | |
| Independent Surgery Center LLC | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Black River Memorial Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Black River Health Inc | Current | Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients |
Locations
711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302
2751 Commercial Blvd
Ste 7
Chippewa Fls, WI 54729
Phone (715) 738-1800
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
18606 Ervin St
Whitehall, WI 54773
Phone (715) 538-4330
Interoperability endpoints
- tpetersen830883@direct.emplifyhealth.org
- https://fhir-myrecord.cerner.com/r4/7b17929a-d976-4002-b080-2a37b05f2444/
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.
-
- Emergency Medicine Physician
- River Falls, WI
- NPI 1578507513
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Black River Falls, WI
- NPI 1811940331
-
- Ambulatory Surgical Clinic/Center
- Chippewa Falls, WI
- NPI 1922316835
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Whitehall, WI
- NPI 1124063573
-
- Rural Health Clinic/Center
- Whitehall, WI
- NPI 1417201864
-
- Rural Health Clinic/Center
- Black River Falls, WI
- NPI 1255183182
-
- Community Based Hospice Care Agency
- Black River Falls, WI
- NPI 1063516078
-
- Clinic/Center
- Rice Lake, WI
- NPI 1790320687
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- River Falls, WI
- NPI 1285691725
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
-
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1952809816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1861169716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 CRAIG RD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 CRAIG RD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016118",
"telephone_number": "715-858-4500"
}
],
"practiceLocations": [
{
"address_1": "1629 E Division St",
"address_purpose": "LOCATION",
"city": "River Falls",
"state": "WI",
"postal_code": "540221571",
"country_code": "US",
"telephone_number": "715-307-6000",
"fax_number": "715-426-4660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18606 Ervin St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "WI",
"postal_code": "547738613",
"country_code": "US",
"telephone_number": "715-538-4355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSEN",
"first_name": "TIFFANY",
"middle_name": "LEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "137670",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "11741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.