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

Matthew Evan Persick

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477131811

Matthew Evan Persick is a Certified Registered Nurse Anesthetist (CRNA) in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with Racine Anesthesia Services LLC, a 81-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1396
Phone: (920) 738-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 134316 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477131811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESMay 29, 2021
Certification dateMay 29, 2021
Mailing address1224 Carpenter St, Menasha, WI 54952-9446

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Racine Anesthesia Services Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton