MRS. SHERALEE DAHLE PETERSEN P.A.-C
NPI 1114110921
Physician Assistant in Murray, UT

Q: What is Sheralee Petersen's NPI number?

The NPI number for Sheralee Petersen is 1114110921. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Q: What is Sheralee Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheralee Petersen was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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 August 24, 2007PECOS EnrolledAccepts Medicare Assignment

5169 S COTTONWOOD ST STE 520, MURRAY, UT 84107(801) 507-3500(801) 507-3505 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Sheralee Dahle Petersen P.a.-c NPPES

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

MRS. SHERALEE DAHLE PETERSEN P.A.-C (NPI 1114110921) is an individual physician assistant in Murray, Utah, licensed in Utah (5190165-1206) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Intermountain Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1114110921

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. SHERALEE DAHLE PETERSENCredential: P.A.-C

Location Address5169 S COTTONWOOD ST STE 520Murray, UT 84107-6756

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 507-3500 · Fax (801) 507-3505

Phone(801) 507-3500

Fax(801) 507-3505

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 24, 2007

Last NPPES UpdateJune 23, 2016

✔ NPI 1114110921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in UT · 5190165-1206

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 5190165-4901 (UT)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 5190165-1206 (UT)

5169 S COTTONWOOD ST STE 520, Murray, UT 84107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Sheralee Dahle Petersen P.a.-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658460068

PECOS Enrollment IDI20071208000126

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84107 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

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIA AFSHAR M.D.

Internal Medicine