Active NPI
Todd Dennis Petersen, CRNA
- Certified Registered Nurse Anesthetist
- New Richmond, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3579-33
- Practice address
- 535 Hospital Rd
New Richmond, WI 54017-1449 - Phone
- (715) 243-2600
- NPI assigned
- Jan 14, 2008
- Last updated
- Sep 15, 2026
- Sex
- Male
- 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 | 3579-33 | WI | Primary |
| Registered Nurse | 163W00000X | 129880-30 | WI |
Addresses
Primary practice location
535 Hospital Rd
New Richmond, WI 54017-1449
Mailing address
8170 33Rd Ave S
Mailstop 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-6000
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, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221
265 Griffin E St
Amery, WI 54001-1439
Phone (715) 268-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078545 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center Inc. | Current | Accepting new patients | |
| Advanced Surgical and Restorative Care LLC | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Hudson Hospital, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Westfields Hospital, Inc | Current | Accepting new patients | |
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Westfields Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Surgical and Restorative Care LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| River Valley Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1470 Rivers Edge Trl
Altoona, WI 54720
1470 Rivers Edge Trl
Ste B
Altoona, WI 54720
Phone (715) 379-8718
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000
535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Organizations & group practices 15
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.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
-
dba Defatta ENT & Plastics Surgery, SC
- Ambulatory Surgical Clinic/Center
- Altoona, WI
- NPI 1194466235
-
- Certified Registered Nurse Anesthetist
- Altoona, WI
- NPI 1952004863
Nurse Anesthetist, Certified Registered
-
dba Hudson Hospital & Clinics
- Critical Access Hospital
- Hudson, WI
- NPI 1396849303
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
dba Westfields Hospital
- Critical Access Hospital
- New Richmond, WI
- NPI 1881640183
Nurse Anesthetist, Certified Registered
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
dba Western Wisconsin Health Spring Valley Clinic
- Clinic/Center
- Spring Valley, WI
- NPI 1164272324
-
- Critical Access Hospital
- Hudson, WI
- NPI 1255532875
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amery Hospital & Clinic
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
dba Amery Hospital & Clinic -Clear Lake Clinic
- Rural Health Clinic/Center
- Clear Lake, WI
- NPI 1366878449
Hospital
-
dba Turtle Lake Clinic
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
Hospital
-
dba Amery Hospital & Clinic - Luck
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
Hospital
-
dba Western Wisconsin Health
- Critical Access Hospital
- Baldwin, WI
- NPI 1467496133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1902082563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S",
"address_2": "MAILSTOP 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516",
"telephone_number": "952-883-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 HOSPITAL RD",
"city": "NEW RICHMOND",
"state": "WI",
"postal_code": "540171449",
"telephone_number": "715-243-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSEN",
"first_name": "TODD",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "3579-33",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "129880-30",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Richmond, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.