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

Tiffany Lee Petersen

Individual provider Certified Registered Nurse Anesthetist · NPI 1861169716

Tiffany Lee Petersen is a Certified Registered Nurse Anesthetist (CRNA) in Eau Claire, Wisconsin. Qualified in 2021, 5 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 3 locations 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

2116 Craig Rd
Eau Claire, WI 54701-6118
Phone: (715) 858-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1629 E Division St, River Falls, WI 54022-1571 — (715) 307-6000
  • 18606 Ervin St, Whitehall, WI 54773-8613 — (715) 538-4355

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 11741 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 137670 (WI)

Record details

NPI number1861169716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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 Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Eau Claire