LISA M PETERSON (D.O.) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1336131986

LISA M PETERSON (D.O.) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in NEPHROLOGY. They hold the professional credentials D.O.. They hold a License No. 42769 (WI). The NPI Number for LISA M PETERSON (D.O.) is 1336131986

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA M PETERSON (D.O.)
NPI
1336131986
Phone
(414) 219-7370
Address
945 N 12TH ST
Enumeration Date
19 August 2005
Deactivation Date
21 March 2006
Reactivation Date
10 April 2006
Last Update Date
9 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144899000
Graduation Year
1999 (27 years ago)
PAC ID
5496784662
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20080428000465
Address ID
WI531103171CU5900XDRXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

239 NEPHROLOGY in WI

Provider Addresses for LISA M PETERSON (D.O.)

  • 945 N 12TH ST

    MILWAUKEE, WI 532331305

    Phone: (414) 219-7370

    Fax: (414) 219-7967

    Type: Location

  • Aurora Health Care, 180, West Grange Avenue, Holler Park, Milwaukee, Milwaukee County, Wisconsin, 53207, United States

    MILWAUKEE, WI 532076030

    Phone: (414) 747-7730

    Fax: (414) 747-7722

    Type: Mailing

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: 2008-04-28

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
I20080428000465INephrologyWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th5518$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4821$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2511$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2118$0
View full utilization report →

Insurance plans in this area (ZIP 53233)

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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: 6709794258View full group profile

Reviews

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Frequently asked questions

Can I cross-check LISA M PETERSON (D.O.) using NPI 1336131986?
NPI 1336131986 belongs to LISA M PETERSON (D.O.); compare other details if you need extra assurance.
Is there an active status for LISA M PETERSON (D.O.)?
For scheduling context, LISA M PETERSON (D.O.) is shown as active in the registry.
What kind of doctor is LISA M PETERSON (D.O.)?
LISA M PETERSON (D.O.) is associated with Hospice and Palliative Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with LISA M PETERSON (D.O.)?
Directory geography for LISA M PETERSON (D.O.) centers on Milwaukee, Wisconsin.
Can I trust this NPI listing for LISA M PETERSON (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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