Individual provider Active NPI

Susan L Harris-Peters, APNP

  • Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1982841862
Registry record updated Aug 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3701-33 Issued in WI
Practice address
10701 W Research Dr
Wauwatosa, WI 53226-3452
Phone
(262) 565-8928
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3701-33 WI Primary

Addresses

Primary practice location

10701 W Research Dr
Wauwatosa, WI 53226-3452

Mailing address

10701 W Research Dr
Wauwatosa, WI 53226-3452
Phone (262) 565-8928

Other identifiers 1

IdentifierTypeStateIssuer
1982841862MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3701-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients
Green Bay Emergency Medicine Services S.C. Past Accepting new patients
Health in Motion Chiropractic LLC PastSince Nov 5, 2023 Accepting new patients
Green Bay Cardiothoracic & Vascular LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

425 Pine Ridge Blvd
Ste 200
Wausau, WI 54401
Phone (715) 847-0075

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440288000000",
    "number": "1982841862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "262-565-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W RESEARCH DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263452",
            "telephone_number": "262-565-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-PETERS",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2015-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3701-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982841862",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.