Active NPI
Christopher Previn Peck, MD
- Emergency Medicine Physician
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 48720-20
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34825000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 2002
- 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
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
- Marshfield Medical Center - Neillsville
- Mile Bluff Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48720-20 | WI | MD | Emergency Medicine Physician |
| 48720 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Spooner Health System, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Mile Bluff Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | 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
- christopher.peck@direct.milebluff.com
- cpeck779767@direct.gundersenhealth.org
- 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.
-
- Emergency Medicine Physician
- Mauston, WI
- NPI 1609912005
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Critical Access Hospital
- Spooner, WI
- NPI 1518982628
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Home Health Agency
- Rice Lake, WI
- NPI 1326139049
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- General Acute Care Hospital
- Mauston, WI
- NPI 1568487411
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.