Gina Petersen, APNP in Greenfield, WI - Medicare Nurse Practitioner

Gina Petersen, APNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Greenfield, Wisconsin. Her current practice location is 5800 W. Layton Ave, Greenfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 532-3067.

Gina Petersen is licensed to practice in Wisconsin (license number 196508) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730722166.

Contact Information

	Gina Petersen, APNP
	5800 W. Layton Ave, Greenfield, WI 53220
	(262) 532-3067
	Not Available

Map and Direction

Provider's Profile

Full Name	Gina Petersen
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	5800 W. Layton Ave, Greenfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730722166
Provider Enumeration Date: 10/17/2019
Last Update Date: 11/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5092148023
Enrollment ID: I20191205002430

Medical Identifiers

Medical identifiers for Gina Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730722166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	196508 (Wisconsin)	Primary
163W00000X	Registered Nurse	196508 (Wisconsin)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gina Petersen allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gina Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gina Petersen, APNP 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-3666	Gina Petersen, APNP 5800 W. Layton Ave, Greenfield, WI 53220 Ph: (262) 532-3067

Reviews and Comments

Nurse Practitioner Nurses in Greenfield, WI

Lauren D Stieber, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Susan L Hafemann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 Fax: 414-762-4225
Kinjal Parekh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 414-231-3130
Anna E Seckar-anderson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Jane A Kunst, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770
Ms. Ana M Sanchez, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 Fax: 414-421-3772
Ms. Heidi R Hochhausen, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4131 W Loomis Rd, Suite 300, Greenfield, WI 53221 Phone: 414-325-7246 Fax: 414-325-3770

Gina Petersen, APNP - Medicare Nurse Practitioner in Greenfield, WI