Individual provider Active NPI

Christopher Previn Peck, MD

  • Emergency Medicine Physician
  • Wisconsin Rapids, WI
National Provider Identifier
1912959313
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
48720-20 Issued in WI
Practice address
220 24TH St S
Wisconsin Rapids, WI 54494-1908
Phone
(715) 424-8600
Fax
(715) 424-8341
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 47070 MN
Family Medicine Physician 207Q00000X 48720 WI
Emergency Medicine Physician 207P00000X 48720-20 WI Primary

Addresses

Primary practice location

220 24TH St S
Wisconsin Rapids, WI 54494-1908

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other identifiers 1

IdentifierTypeStateIssuer
34825000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000803 WI Practitioner - Emergency MedicinePractitioner - Family Practice 2668438482 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Wisconsin School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Mile Bluff Medical Center IncGroup PAC ID 8527971399, 87 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

1050 Division St
Mauston, WI 53948-1931
Phone (608) 847-6161

4100 State Hwy 66
Stevens Point, WI 54482-8410
Phone (715) 997-6000

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Marshfield Medical Center - Neillsville Hospital, Neillsville, WI, CCN 521323
  • Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48720-20WIMDEmergency Medicine Physician
48720WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 17, 2023 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Nov 1, 2020 Accepting new patients
Spooner Health System, Inc. Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 17, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 17, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 17, 2023 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 17, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 17, 2023 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Nov 1, 2020 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 17, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Mile Bluff Medical Center Inc Emergency Medicine Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 17, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 17, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 17, 2023 Accepting new patients
Gundersen Clinic LTD Past Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

1280 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2111

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

220 24th St S
Wisconsin Rapids, WI 54494
Phone (715) 424-8600

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Interoperability endpoints

  • Direct secure messaging: christopher.peck@direct.milebluff.com
  • Direct secure messaging: cpeck779767@direct.gundersenhealth.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1912959313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 24TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544941908",
            "telephone_number": "715-424-8600",
            "fax_number": "715-424-8341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "CHRISTOPHER",
        "middle_name": "PREVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "47070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "48720",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "48720-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34825000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "220 24th St S",
            "city": "Wisconsin Rapids",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544941908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.