NPPES file of Aug 9, 2026

Kim L. Petershack, CD

Registered Dietitian · Madison, WI

Kim L. Petershack, CD is a registered dietitian with a practice address in Madison, Wisconsin, and NPI 1346206323, issued on Apr 26, 2006. Check the license (Wisconsin 15-029, as entered in NPPES) with the Wisconsin board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1346206323
Name
Kim L. Petershack
Credential
CD
Primary taxonomy
Registered Dietitian 133V00000X
License number
15-029 WI
Self-reported in NPPES; status is on the state search
Practice location
1313 Fish Hatchery RD, Madison, WI 53715
Phone
(608) 252-8000
Enumerated
Apr 26, 2006
Record last updated
Jan 23, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(608) 283-7192
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 1313 Fish Hatchery RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Janice Antoniewicz-Werner, CDRegistered Dietitian1790741288
  2. Brian ApelPharmacist1013188069
  3. Gregory BartelsPharmacist1861716698
  4. Gretchen Batterman, PSYDClinical Neuropsychologist1285784348
  5. Michael Bernhard, PHDPsychologist1285678672
  6. Andrew Bognar, PHARMDPharmacist1508221029

Verify Kim L. Petershack in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 15-029
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Wisconsin license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Kim L. Petershack among 1,457 registered dietitian records in Wisconsin

Kim L. Petershack, CD is one of 1,457 registered dietitian records with a practice address in Wisconsin. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 84% newer
  • In a Medicare fileNo · 12% of these records are
  • In the CMS Doctors and Clinicians fileNo · 13% of these records are
  • Record last updated2018 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 133V00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

215 registered dietitian records list a practice address in Madison

They are 215 of the 15,014 NPPES records with a practice address in Madison, and 1,457 registered dietitian records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 registered dietitian records with the nearest ZIP codes

  1. Janice Antoniewicz-Werner, CDMadison, WI 537151790741288
  2. Melody Cole, MS RD CDMadison, WI 537151568421642
  3. Carly Degrood, RDMadison, WI 537151851409551
  4. Dana Evans, MS, RDMadison, WI 537151144383365
  5. Tammy Fumusa, RDMadison, WI 537151033277645
  6. Nan Olson, RD CDMadison, WI 537151255392155
  7. Diana Pederson, RDCDMadison, WI 537151578747630
  8. Melissa Phillips, RDMadison, WI 537151194857805

Common questions

What is Kim L. Petershack, CD's NPI number?

Kim L. Petershack, CD's National Provider Identifier (NPI) is 1346206323, issued on Apr 26, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kim L. Petershack, CD located?

The NPPES record lists a practice address at 1313 Fish Hatchery RD, Madison, WI, 53715. Phone: (608) 252-8000. Providers update this record themselves, so call before visiting.

How can I verify Kim L. Petershack, CD's license?

NPPES lists Wisconsin license number 15-029, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.