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

Kenneth D Peterson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1386131324

Kenneth D Peterson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Oshkosh, Wisconsin. Qualified in 2018, 8 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone: (920) 303-8700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1010 College St, Oxford, NC 27565-2507 — (919) 690-3000
  • 835 S Van Buren St, Green Bay, WI 54301-3526 — (920) 433-0111

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 198339-30 (WI)

Record details

NPI number1386131324
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oshkosh