Russell N. Petersen, D.C
Chiropractor · Sheboygan, WI
Russell N. Petersen, D.C is a chiropractor with a practice address in Sheboygan, Wisconsin, and NPI 1164550620, issued on Feb 28, 2007. Check the license (Wisconsin 4058-012, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Russell N. Petersen
- Credential
- D.C
- Primary taxonomy
- Chiropractor 111N00000X
- License number
- 4058-012 WI
Self-reported in NPPES; status is on the state search - Practice location
- 4027 S Business Dr, Sheboygan, WI 53081
- Phone
- (920) 459-9090
- Enumerated
- Feb 28, 2007
- Record last updated
- Jan 23, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (920) 459-7426
- Medicaid ID
- 38834800 WI
- Medicare enrollment
- Enrolled (PECOS I20051208000626); accepts Medicare assignment
- Medical or professional school
- Palmer College Chiropractic - Davenport, 2004
- Entity
- Type 1 · individual
8 nearest chiropractor records → All 2,550 in Wisconsin → Look up another NPI →
Also registered at 4027 S Business Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kim Dietz, LMTMassage Therapist1811458920
- Steven Santino, MDPhysical Medicine & Rehabilitation Physician1285741553
- Bradley Wiegand, D.C.Chiropractor1750645669
Verify Russell N. Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 4058-012Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Creekside Chiropractic And Rehabilitation LtdSheboygan, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Russell N. Petersen among 2,550 chiropractor records in Wisconsin
Russell N. Petersen, D.C is one of 2,550 chiropractor records with a practice address in Wisconsin. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 40% of them.
- NPI issued2007 · 40% of these records are older, 47% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated2004 · median 2005 among the 1,520 with a school on file
- Record last updated2012 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111N00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
35 chiropractor records list a practice address in Sheboygan
They are 35 of the 1,385 NPPES records with a practice address in Sheboygan, and 2,550 chiropractor records in Wisconsin.
All 2,550 in Wisconsin → Every provider in Sheboygan → Chiropractor nationwide →
The 8 chiropractor records with the nearest ZIP codes
- Renee Ascher Ellis, D.C.Sheboygan, WI 530811275666760
- James Carey, D.C.Sheboygan, WI 530811841371192
- Joe Dirker, D.C.Sheboygan, WI 530811356340418
- Daniel Grimm, D.C.Sheboygan, WI 530811104013119
- Kenneth Heinen, DCSheboygan, WI 530811417094368
- Thomas Kloiber, D.C.Sheboygan, WI 530811730295718
- Richard Knowles, DCSheboygan, WI 530811841341906
- Timothy Kroneck, D.C.Sheboygan, WI 530811073641403
Common questions
What is Russell N. Petersen, D.C's NPI number?
Russell N. Petersen, D.C's National Provider Identifier (NPI) is 1164550620, issued on Feb 28, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Russell N. Petersen, D.C located?
The NPPES record lists a practice address at 4027 S Business Dr, Sheboygan, WI, 53081. Phone: (920) 459-9090. Providers update this record themselves, so call before visiting.
How can I verify Russell N. Petersen, D.C's license?
NPPES lists Wisconsin license number 4058-012, 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. Medicare files from data.cms.gov. 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.