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

Tracy M Peterson, NURSEPRACTIONER

Individual provider Nurse Practitioner · NPI 1619058740

Tracy M Peterson, NURSEPRACTIONER is a Nurse Practitioner in Wauwatosa, Wisconsin. Qualified in 2006, 20 years ago. Practices with Orthopedic Surgeons of Wisconsin SC, a 62-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
20
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone: (414) 384-6700
Fax: (414) 384-3008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2967-033 (WI)

Record details

NPI number1619058740
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTIONER
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Orthopedic Surgeons Of Wisconsin Sc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Wauwatosa