JANE E. PETERSON-KATTENBRAKER (M.D.) – Family Medicine Physician, NPI 1245227719

JANE E. PETERSON-KATTENBRAKER (M.D.) is a healthcare provider. based in Mauston, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 42701 (WI). The NPI Number for JANE E. PETERSON-KATTENBRAKER (M.D.) is 1245227719

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
JANE E. PETERSON-KATTENBRAKER (M.D.)
NPI
1245227719
Phone
Not provided
Address
1040 DIVISION ST
Enumeration Date
30 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6088475000
Graduation Year
1999 (27 years ago)
PAC ID
9638211410
Group Practice PAC ID
8527971399
Professional Enrollment ID
I20100115000707
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JANE E. PETERSON-KATTENBRAKER (M.D.)

  • 1040, Division Street, Mauston, Juneau County, Wisconsin, 53948, United States

    MAUSTON, WI 539481931

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100115000707IFamily PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53948)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527971399View full group profile
NameSpecialtyState
-WI
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI
Orthopedic SurgeryWI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWI
General SurgeryWI
-WI
Orthopedic SurgeryWI
Physician AssistantWI

Reviews

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Frequently asked questions

How do payers reference JANE E. PETERSON-KATTENBRAKER (M.D.)?
For JANE E. PETERSON-KATTENBRAKER (M.D.), use NPI 1245227719 as the unique 10-digit identifier.
Active or inactive — what applies to JANE E. PETERSON-KATTENBRAKER (M.D.)?
You should see JANE E. PETERSON-KATTENBRAKER (M.D.) as active in CMS-hosted NPPES data.
What area of care is associated with JANE E. PETERSON-KATTENBRAKER (M.D.)?
JANE E. PETERSON-KATTENBRAKER (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JANE E. PETERSON-KATTENBRAKER (M.D.)?
Directory geography for JANE E. PETERSON-KATTENBRAKER (M.D.) centers on Mauston, Wisconsin.
When was this NPI issued?
Enumeration for JANE E. PETERSON-KATTENBRAKER (M.D.) is noted as September 30, 2005 where the registry provides it.

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