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Active NPI 1982956504 Individual Practitioner Female Practitioner

Kathleen M Peterson , NP

Nurse Practitioner • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Kathleen Peterson, NP is a registered healthcare professional specializing in Nurse Practitioner in Appleton, WI. Practice services are available at 4517 N WINDINGBROOK DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient assisted living visit, chronic care management services, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4517 N Windingbrook Dr

Appleton, WI 549137764

Telephone 9208589094

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes
41 41 $167.87 $109.47
99337 Established patient assisted living visit, typically 60 minutes
15 15 $240.42 $156.55

Medical Specialties & State Licenses

CMS Verified: 2022-04-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 5090

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 143537

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

411 Lincoln St

Neenah, WI 549562753

Phone: 9207274425

4321 W College Ave Ste 200

Appleton, WI 549143968

Phone: 8669490108

411 Lincoln St

Neenah, WI 549562753

Phone: 9207274425

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 07, 2022

Registered at 4517 N WINDINGBROOK DR, APPLETON, WI 549137764 (Tel: 9208589094)

📍
Updated Business Mailing Address February 07, 2022

Registered at 4517 N WINDINGBROOK DR, APPLETON, WI 549137764 (Tel: 9208589094)

📍
Updated Practice Location October 18, 2018

Registered at 342 N WATER ST STE 600, MILWAUKEE, WI 53202 (Tel: 6513421039)

📍
Updated Business Mailing Address October 18, 2018

Registered at 270 MAIN ST N STE 300, STILLWATER, MN 550826788

NPI Profile Active October 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2012

Registered at 411 LINCOLN ST, NEENAH, WI 549562753 (Tel: 9207274425)

📍
Updated Business Mailing Address October 05, 2012

Registered at 411 LINCOLN ST, NEENAH, WI 549562753 (Tel: 9207274425)

👤
Provider Name / Credentials Updated October 05, 2012

Recorded as KATHLEEN PETERSON, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2012

Nurse Practitioner (License #143537 in WI)

🟢
Initial NPI Registration & Enumeration October 05, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982956504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2012
Last Update: April 18, 2022
Sole Proprietor: No

Mailing Address

4517 N Windingbrook Dr

Appleton, WI 549137764

Phone: 9208589094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.