TIFFANY LEE PETERSEN – Certified Registered Nurse Anesthetist, NPI 1861169716
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for TIFFANY LEE PETERSEN
1629 E Division St
River Falls, WI 540221571
Phone: (715) 307-6000
Fax: (715) 426-4660
Type: Location
18606 Ervin St
Whitehall, WI 547738613
Phone: (715) 538-4355
Type: Location
2116 CRAIG RD
EAU CLAIRE, WI 547016118
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-04-29 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Rayner Intraocular Lenses Limited | $23 |
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: 2021-12-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211222001153 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 38 | 38 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 21 | 21 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 54022)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| N E U R O L O G Y | NY | |
| Nurse Practitioner | WI | |
| Interventional Radiology, Diagnostic Radiology | WI | |
| - | WI | |
| P S Y C H I A T R Y | IL | |
| - | MI | |
| Internal Medicine | WI | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology) | IL |
Reviews
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