Active NPI 1700041472 Individual Practitioner Female Practitioner

Michelle K Petersen , NP

Nurse Practitioner • Two Rivers, WI

Professional Overview & Biography Verified Profile Summary

Michelle Petersen, NP is a registered healthcare professional specializing in Nurse Practitioner in Two Rivers, WI. Practice services are available at 5300 MEMORIAL DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5300 Memorial Dr

Two Rivers, WI 54241

Telephone 9207937400

Associated Practice Facility / Clinic

🏢 Aurora Pharmacy Inc Facility NPI 1558395772

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Two Rivers, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.4 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

18 Specialists

Practicing in Two Rivers, WI (4030 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.2% 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 (2023)

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	47	39	$490.00	$104.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$720.00	$134.98
99443 Telephone medical discussion with physician, 21-30 minutes	22	19	$420.00	$99.70

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	112	86	$465.00	$104.87
99443 Telephone medical discussion with physician, 21-30 minutes	19	15	$400.00	$104.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$687.00	$132.36
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$304.55	$74.01

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	165	127	$436.27	$105.03
99213 Established patient office or other outpatient visit, typically 15 minutes	46	35	$295.00	$74.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$350.00	$107.81
99496 Transitional care management services for problem of high complexity	12	12	$970.00	$227.58

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	270	218	$416.00	$88.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$350.00	$93.96
99213 Established patient office or other outpatient visit, typically 15 minutes	52	45	$281.00	$61.23
93793 Anticoagulant management of patient taking warfarin	43	22	$65.00	$9.65
G0008 Administration of influenza virus vaccine	41	41	$60.00	$16.20
90662 Influenza vaccine split virus, preservative free	34	34	$93.82	$60.26
99496 Transitional care management services for problem of high complexity	24	23	$970.00	$183.90
85610 Blood test, clotting time	22	13	$43.00	$4.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$590.00	$119.74
G0009 Administration of pneumococcal vaccine	16	16	$60.00	$16.15
69210 Removal of impacted ear wax	15	13	$269.00	$38.73
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$515.00	$140.14

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	235	153	$393.00	$88.98
99213 Established patient office or other outpatient visit, typically 15 minutes	101	92	$265.00	$60.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$350.00	$95.40
93793 Anticoagulant management of patient taking warfarin	36	32	$62.00	$9.95
G0008 Administration of influenza virus vaccine	32	31	$59.84	$15.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	28	$567.00	$119.35
90662 Influenza vaccine split virus, preservative free	26	25	$85.19	$54.79
69210 Removal of impacted ear wax	21	19	$255.00	$38.53
99496 Transitional care management services for problem of high complexity	20	19	$942.00	$190.05
99495 Transitional care management services for problem of at least moderate complexity	14	13	$659.00	$134.89

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	41	38	$374.00	$87.87
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$252.00	$59.34
G0008 Administration of influenza virus vaccine	11	11	$55.00	$19.63

Medical Specialties & State Licenses

CMS Verified: 2021-11-30

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8589-033

(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 - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License WI 8589-33

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

100080774 (WI)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Joanna Smogoleski

Nurse Practitioner

NPI 1013317254

Dr. Tresa Teehan , MD

Internal Medicine

NPI 1144337247

Doctor of Medicine (M.D.)

Amy Schleunes , APNP

Nurse Practitioner

NPI 1316054695

Advanced Practice Nurse Prescriber

Dr. Neil Patterson , DO

Internal Medicine

NPI 1760123616

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

11 Historical Events

👤

Provider Name / Credentials Updated February 12, 2020

Recorded as MICHELLE PETERSEN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2019

Nurse Practitioner (License #8589-033 in WI)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Nurse Practitioner (License #8589-33 in WI)

📍

Updated Practice Location August 13, 2018

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 54241 (Tel: 9207937400)

📍

Updated Business Mailing Address August 13, 2018

Registered at 5300 MEMORIAL DR, TWO RIVERS, WI 542413923 (Tel: 9207937400)

✅

NPI Profile Active February 23, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2011

Registered at 7447 W TALCOTT AVE, SUITE 542, CHICAGO, IL 606313745 (Tel: 7736312180)

📍

Updated Business Mailing Address February 23, 2011

Registered at 7447 W TALCOTT AVE, SUITE 542, CHICAGO, IL 606313745 (Tel: 7736312180)

👤

Provider Name / Credentials Updated February 23, 2011

Recorded as MICHELLE MENDYK, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2011

Nurse Practitioner (License #209007050 in IL)

🟢

Initial NPI Registration & Enumeration July 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700041472

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 22, 2008

Last Update: November 30, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5300 Memorial Dr

Two Rivers, WI 542413923

Phone: 9207937400

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.