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Active NPI 1144681222 Individual Practitioner Female Practitioner

Carrie A Petersen , APNP

Nurse Practitioner • Summit, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Carrie Petersen, APNP is a certified Nurse Practitioner practicing in Summit, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Carrie Petersen delivers high-quality medical care to the local community at 36500 AURORA DR.

Carrie Petersen is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Summit, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +1.4 yrs vs City Avg
City Avg: 9.6 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
32 Specialists

Practicing in Summit, WI (4030 Statewide)

Telehealth Adoption Rate
31.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petersen (11 Years) 11 Yrs
Summit Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
36 22 $515.00 $101.68

Medical Specialties & State Licenses

CMS Verified: 2025-05-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 6891

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100055449 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Secondary Practice Locations

240 Maple Ave, Prohealth Care Medical Associates

Mukwonago, WI 531498475

Phone: 2629281900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address May 07, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location February 09, 2023

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address February 09, 2023

Registered at 3301 W FOREST HOME AVE, MILWAUKEE, WI 532152843 (Tel: 2624341000)

NPI Profile Active March 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2016

Registered at 240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES, MUKWONAGO, WI 531498475 (Tel: 2629281900)

📍
Updated Business Mailing Address March 16, 2016

Registered at 240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES, MUKWONAGO, WI 531498475 (Tel: 2629281900)

👤
Provider Name / Credentials Updated March 16, 2016

Recorded as CARRIE PETERSEN, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2016

Nurse Practitioner (License #6891 in WI)

🟢
Initial NPI Registration & Enumeration March 16, 2016

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: 1144681222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2016
Last Update: May 07, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.