Tiffany Lee Petersen, - Medicare Certified Registered Nurse Anesthetist (crna) in Eau Claire, WI

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Tiffany Lee Petersen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Eau Claire, Wisconsin. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mayo Clinic Health System-northwest Wisconsin Region Inc, Mchs Hospitals Inc and her current practice location is 2116 Craig Rd, Eau Claire, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 858-4500.

Tiffany Lee Petersen is licensed to practice in Wisconsin (license number 11741) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861169716.

Contact Information

Tiffany Lee Petersen,
2116 Craig Rd,
Eau Claire, WI 54701-6118
(715) 858-4500
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Lee Petersen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location2116 Craig Rd, Eau Claire, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Lee Petersen graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1861169716
  • Provider Enumeration Date: 08/27/2021
  • Last Update Date: 12/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880085034
  • Enrollment ID: I20211222001153

Medical Identifiers

Medical identifiers for Tiffany Lee Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861169716NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 137670 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered 11741 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Health System Eau Claire HospitalEau claire, WIHospital
Marshfield Medical Center - Eau ClaireEau claire, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-northwest Wisconsin Region Inc4385553627707
Mchs Hospitals Inc56980711731045

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. Tiffany Lee Petersen allows following entities to bill medicare on her behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBlack River Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517
Entity NameTri-county Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417201864
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696
Entity NameBlack River Health Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20061104000654
Entity NameIndependent Surgery Center Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1922316835
PECOS PAC ID: 8527249002
Enrollment ID: O20110217000285
Entity NameMayo Clinic Health System-northwest Wisconsin Region Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameNorth American Partners In Anesthesia Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720733454
PECOS PAC ID: 8729475447
Enrollment ID: O20220428000422

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. Tiffany Lee 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 AddressPractice Location Address
Tiffany Lee Petersen,
2116 Craig Rd,
Eau Claire, WI 54701-6118

Ph: () -		Tiffany Lee Petersen,
2116 Craig Rd,
Eau Claire, WI 54701-6118

Ph: (715) 858-4500

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Eau Claire, WI

Kathy L Mcnally, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Whipple St, Eau Claire, WI 54703
Phone: 715-838-3311    
Kimberly S Mertens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Whipple St, Eau Claire, WI 54703
Phone: 715-838-3311    
Jean J Jasienski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1221 Whipple St, Eau Claire, WI 54703
Phone: 715-838-5222    
Seth E Bollinger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2116 Craig Rd, Eau Claire, WI 54701
Phone: 715-858-4500    
Andrea J Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1221 Whipple St, Eau Claire, WI 54703
Phone: 715-838-3311    
Tasha Jo Hay, DNAP, ARPN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Bellinger St, Eau Claire, WI 54703
Phone: 715-838-5222    
Shelley L Kadlec, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Whipple St, Eau Claire, WI 54703
Phone: 715-838-3311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.