KATHLEEN DAWN CANALES PETERSON (APNP) – Nurse Practitioner, NPI 1548855349

KATHLEEN DAWN CANALES PETERSON (APNP) is a healthcare provider. based in Pleasant prairie, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 2020039291 (WI). The NPI Number for KATHLEEN DAWN CANALES PETERSON (APNP) is 1548855349

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN DAWN CANALES PETERSON (APNP)
NPI
1548855349
Phone
(262) 652-4400
Address
10220 PRAIRIE RIDGE BLVD
Enumeration Date
3 March 2021
Last Update Date
5 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082745300
Graduation Year
2020 (6 years ago)
PAC ID
3678980893
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20210405001990
Address ID
WI537115376FI5543XPKWY400
Telehealth
Yes

Contacts

Secure Messaging
kcanales1282251@direct.uwhealth.org
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for KATHLEEN DAWN CANALES PETERSON (APNP)

  • 10220 PRAIRIE RIDGE BLVD

    PLEASANT PRAIRIE, WI 531581946

    Phone: (262) 652-4400

    Type: Location

  • 8950 83RD ST APT 84

    PLEASANT PRAIRIE, WI 531582553

    Phone: (856) 419-6431

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 5543 E CHERYL PKWY

    FITCHBURG, WI 537115376

    Phone: (608) 263-7740

    Fax: (608) 262-6048

    Type: Location

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: 2021-04-05

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
I20210405001990INurse PractitionerWITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes138117$0
99214Established patient office or other outpatient visit, 30-39 minutes107100$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6045$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4441$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3023$0
View full utilization report →

Insurance plans in this area (ZIP 53158)

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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: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

What is the standard ID for KATHLEEN DAWN CANALES PETERSON (APNP) in the U.S.?
In the U.S., KATHLEEN DAWN CANALES PETERSON (APNP) is identified by NPI 1548855349.
Quick check: is KATHLEEN DAWN CANALES PETERSON (APNP) active?
Public NPPES data shows KATHLEEN DAWN CANALES PETERSON (APNP) with an active NPI status right now.
What does the directory say KATHLEEN DAWN CANALES PETERSON (APNP) does?
Insurance directories may phrase it differently, but here KATHLEEN DAWN CANALES PETERSON (APNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to KATHLEEN DAWN CANALES PETERSON (APNP)?
The directory associates KATHLEEN DAWN CANALES PETERSON (APNP) with Pleasant Prairie, Wisconsin. Check all listed addresses for suites or satellite offices.
Why is information missing for KATHLEEN DAWN CANALES PETERSON (APNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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