EMILY PETERSON MD NPI 1265842306

NPI Information

  • NPI: 1265842306
  • Provider Name: EMILY PETERSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 S UNIVERSITY AVE STE 200
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 887-9272

Map and Directions

Get Directions

NPI Details

Emily Peterson, MD is a family medicine in Beaver Dam, WI with 12 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Emily Peterson, MD NPI is 1265842306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

705 S UNIVERSITY AVE STE 200
BEAVER DAM, WI
ZIP 53916-079
Phone: (920) 887-9272
Fax: (608) 833-6932

The NPI 1265842306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 4/29/2014 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine66142-20WISCONSINYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.