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

Mr. Todd Dennis Petersen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1902082563

Mr. Todd Dennis Petersen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in New Richmond, Wisconsin. Qualified in 2007, 19 years ago. Practices with Baldwin Area Medical Center Inc, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

130 S Knowles Ave
New Richmond, WI 54017-1727
Phone: (715) 246-3018
Fax: (715) 246-3019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2302 Highway 46 # 159, Deer Park, WI 54007-7501 — (715) 269-5530

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 078545 (WI)

Record details

NPI number1902082563
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 14, 2008
Last updated in NPPESApril 18, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Baldwin Area Medical Center Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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