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

Peter Rotter, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1508979691

Peter Rotter, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Manitowoc, Wisconsin. Qualified in 1996, 30 years ago. Practices with Andisthesia LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Western Ave
Manitowoc, WI 54220-3712
Phone: (920) 320-2249
Fax: (920) 320-3529
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 275433 (WI)

Record details

NPI number1508979691
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESApril 15, 2025
Certification dateApril 4, 2025
Mailing addressPo Box 2290, Manitowoc, WI 54221-2290

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Andisthesia Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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