Mary Ellen Peterson
C-ANP | Nurse Practitioner - Adult Health
W12070 State Hwy 35, Stockholm
Wisconsin, 54769-6127
715-821-8532
Mary Ellen Peterson is a Stockholm, Wisconsin based nurse practitioner who is specialized as Adult Health NP. Active license number of Mary Ellen Peterson is 0360774 for Nurse Practitioner in Minnesota. Her current practice location is W12070 State Hwy 35, Stockholm. Patients can reach her at 715-821-8532 or can fax her at 715-442-2351. Mary Ellen Peterson is C-ANP with specialization in Adult Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1083621445.
Mary Ellen Peterson can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Mary Ellen Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mary Ellen Peterson |
| Specialization: | Nurse Practitioner - Adult Health (ANP) |
| Gender: | Female |
| Credentials: | C-ANP |
| Practice Address: | W12070 State Hwy 35, Stockholm,
Wisconsin, 54769-6127 |
| Phone: | 715-821-8532 |
| Fax: | 715-442-2351 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1083621445 |
| NPI Enumeration Date: | 01 Aug, 2006 |
| NPI Last Update On: | 07 Apr, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Ellen Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 0360774 | Nurse Practitioner | Minnesota | Primary | |
| 4576-033 | Adult Health NP | Wisconsin | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mary Ellen Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0404556 | Other | Minnesota | MEDICA |
| 243994800 | Medicaid | Minnesota | |
| 090M9PE | Other | Minnesota | BLUE CROSS BLUE SHIELD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mary Ellen Peterson
W12070 State Hwy 35,
Stockholm, Wisconsin |
| Zip: | 54769-6127 |
| Phone Number: | 715-821-8532 |
| Fax Number: | 715-442-2351 |
Patients can reach Mary Ellen Peterson at
W12070 State Hwy 35, Stockholm, Wisconsin or can
call to book an appointment on 715-821-8532.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.