ALEXIS GUNDERSEN PETERSEN FNP
NPI 1043029457
Nurse Practitioner - Family in Taylorsville, UT

Q: What is Alexis Petersen's NPI number?

The NPI number for Alexis Petersen is 1043029457. It was assigned to this individual provider in the NPPES registry on January 1, 2025.

Q: What is Alexis Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Petersen was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 01, 2025PECOS Enrolled

6048 S HAZELHURST DR, TAYLORSVILLE, UT 84129(801) 560-9124 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2025, Jan 1, 2025 (2 updates tracked since 2025).

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About Alexis Gundersen Petersen Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS GUNDERSEN PETERSEN FNP (NPI 1043029457) is an individual family provider in Taylorsville, Utah, licensed in Utah (9252507-4405) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043029457

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALEXIS GUNDERSEN PETERSENCredential: FNP

Location Address6048 S HAZELHURST DRTaylorsville, UT 84129-5108

Mailing Address6048 S Hazelhurst DrTaylorsville, UT 84129-5108

Phone(801) 560-9124

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 1, 2025

Last NPPES UpdateJanuary 11, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2025

✔ NPI 1043029457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 9252507-4405

6048 S HAZELHURST DR, Taylorsville, UT 84129

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Gundersen Petersen Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537641170

PECOS Enrollment IDI20260304000229

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Petersen's NPI number?

The NPI number for Alexis Petersen is 1043029457. It was assigned to this individual provider in the NPPES registry on January 1, 2025.

Where is Alexis Petersen located?

Alexis Petersen practices at 6048 S Hazelhurst Dr, Taylorsville, UT 84129. The listed phone number is (801) 560-9124.

What is Alexis Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexis Petersen enrolled in Medicare?

Yes. Alexis Petersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexis Petersen was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.