Todd Dennis Petersen, CRNA
NPI 1902082563ActiveIndividual· Nurse Anesthetist, Certified Registered· New Richmond, WI
Nurse Anesthetist, Certified Registered (CRNA) with St. Croix Regional Medical Center and 3 other groups, practicing in New Richmond, Wisconsin. Medicare paid $16,716 for services to 94 patients in 2024. Lists Amery Hospital & Clinic and 1 other hospital as hospital affiliations.
Overview
| NPI | 1902082563 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 14, 2008 |
| Last updated in NPPES | Sep 15, 2026 |
| Certified by provider | Sep 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 3579-33 | WI |
| Registered Nurse | 163W00000X | 129880-30 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 94 |
|---|---|
| Services billed | 111 across 29 procedure codes |
| Paid by Medicare | $16,716 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- St. Croix Regional Medical CenterLindstrom, MN · 131 clinicians
- Amery Regional Medical Center IncAmery, WI · 124 clinicians
- Baldwin Area Medical Center IncBaldwin, WI · 89 clinicians
- Advanced Surgical and Restorative Care LLCAltoona, WI · 5 clinicians
Hospital affiliations
- Amery Hospital & ClinicAmery, WI
- Western Wisconsin HealthBaldwin, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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