Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric L Peterson, MSNFNP-BC

Individual provider Nurse Practitioner · NPI 1790112050

Eric L Peterson, MSNFNP-BC is a Nurse Practitioner in Manitowoc, Wisconsin. Qualified in 2013, 13 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Licensed in
WI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

4100 Dewey St
Manitowoc, WI 54220-5497
Phone: (920) 686-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5433-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5433-33 (WI)

Record details

NPI number1790112050
Entity typeIndividual (Type 1)
GenderMale
Credentials MSNFNP-BC
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manitowoc