MR. TODD DENNIS PETERSEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902082563
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for MR. TODD DENNIS PETERSEN (CRNA)
2302 Highway 46 # 159
Deer Park, WI 540077501
Phone: (715) 269-5530
Type: Location
2659, 170th Avenue, Town of Emerald, Town of Glenwood, Saint Croix County, Wisconsin, 54013, United States
EMERALD, WI 540138140
Phone: (715) 265-7425
Type: Mailing
130, South Knowles Avenue, New Richmond, Saint Croix County, Wisconsin, 54017, United States
NEW RICHMOND, WI 540171727
Phone: (715) 246-3018
Fax: (715) 246-3019
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: 2008-04-08
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 |
|---|---|---|---|---|
| I20080408000684 | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 26 | 26 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 54007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| Internal Medicine, Pediatric Medicine | MN | |
| Family Practice | WI | |
| O T O L A R Y N G O L O G Y | MN | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MN | |
| Family Practice | WI | |
| Family Practice | CA | |
| Family Practice | IL |
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