DR. JAMES TYLER PETERSEN D.C.
NPI 1134439755
Chiropractor in Cedar City, UT
About Dr. James Tyler Petersen D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES TYLER PETERSEN D.C. (NPI 1134439755) is an individual chiropractor in Cedar City, Utah, licensed in Utah (7779072-1202) and active in the NPI registry since October 2010.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. James Tyler Petersen D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show James Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eagle River, AK 99577
- Reassigned Medicare billing, Alaska enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 James Petersen's NPI number?
The NPI number for James Petersen is 1134439755. It was assigned to this individual provider in the NPPES registry on October 15, 2010.
Where is James Petersen located?
James Petersen practices at 657 W 200 N, Cedar City, UT 84720. The listed phone number is (435) 592-4845.
What is James Petersen's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is James Petersen enrolled in Medicare?
Yes. James Petersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for James Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Petersen reassigns Medicare benefits to Arctic Chiropractic & Physical Medicine Eagle River LLC (Eagle River, AK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for James Petersen was last updated on March 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. James Tyler Petersen, D.C. · NPI 1134439755
Chiropractor provider in Cedar City, Utah. Individual provider, active in the CMS NPPES registry since October 15, 2010.
## Identity
- **NPI:** 1134439755 (Entity type: Individual)
- **Enumerated:** October 15, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 7779072-1202 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 657 W 200 N, Cedar City, UT 84720-2408
- **Phone:** (435) 592-4845
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Arctic Chiropractic & Physical Medicine Eagle River LLC (NPI 1891198875, Eagle River, AK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2012
- **Other identifiers:** Other U000073714 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1134439755) · Data from the CMS NPPES public registry.