Tara Peterson, PNP

NPI: 1710353560

Tara Peterson, PNP

Q: What is Tara Peterson's NPI number?

Tara Peterson's NPI number is 1710353560, a unique 10-digit identifier issued by CMS.

Q: What does Tara Peterson specialize in?

Tara Peterson specializes in Nurse Practitioner, taxonomy code 363LP0200X.

Q: Where does Tara Peterson practice?

Tara Peterson practices in Brookfield, WI 53005-2441.

Q: When was Tara Peterson's NPI issued?

Tara Peterson's NPI was issued on August 17, 2015.

Q: What is Tara Peterson's provider type?

Tara Peterson is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: August 17, 2015

Quick Facts

NPI Number

1710353560

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LP0200X — Nurse Practitioner

Phone

(262) 781-3065

StateWI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1710353560)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (August 17, 2015)

Data source: CMS NPPES

Provider Overview

TARA PETERSON, PNP is a Nurse Practitioner provider based in Brookfield, WI who has been registered with CMS since 2015. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1710353560

Provider TypeIndividual Provider

GenderFemale

CredentialPNP

StatusActive

Enumeration DateAugust 17, 2015

Practice Location

CityBrookfield

StateWI

ZIP Code53005-2441

Phone(262) 781-3065

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LP0200X

License StateWI

Mailing Address

CityBrookfield

StateWI

ZIP Code53005-2441

Phone(262) 781-3065

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1710353560 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1710353560for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1710353560 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

Browse all Nurse Practitionerproviders →

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Nurse Practitioner Providers in the US