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

Stacy Peterson, MD

Individual provider Anesthesiology Physician · NPI 1356515704

Stacy Peterson, MD is an Anesthesiology in Milwaukee, Wisconsin. Graduated from University of Tennessee, Hsc, College of Medicine in 2007, 19 years ago. Practices with Childrens Specialty Group Inc, a 213-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 959 N Mayfair Rd, Milwaukee, WI 53226-3465 — (414) 955-7601
  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-8700

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 52973 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 52973 (WI)

Record details

NPI number1356515704
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Childrens Specialty Group Inc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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