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NICOLE SHEREE PETERSON PA-C
NPI 1144694068
Physician Assistant in Bountiful, UT

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 84010(801) 295-7200 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2025, Feb 15, 2023, Nov 16, 2015 (3 updates tracked since 2015).

About Nicole Sheree Peterson Pa-c NPPES

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

NICOLE SHEREE PETERSON PA-C (NPI 1144694068) is an individual physician assistant in Bountiful, Utah, licensed in Utah (9495419-1206) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Lakeview Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1144694068
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE SHEREE PETERSONCredential: PA-C
Location Address1551 RENAISSANCE TOWNE DR STE 500Bountiful, UT 84010-7678
Mailing Address1551 Renaissance Towne Dr Ste 500Bountiful, UT 84010-7678 · (801) 295-7200
Phone(801) 295-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 16, 2015
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1144694068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 9495419-1206
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.
1551 RENAISSANCE TOWNE DR STE 500, Bountiful, UT 84010
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Nicole Sheree Peterson Pa-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 ID4981016409
PECOS Enrollment IDI20250228000147
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
35 services34 patients

Hospital Affiliations CMS Care Compare

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

Lakeview Hospital

Acute Care Hospitals · Bountiful, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number460042
Location630 East Medical DriveBountiful, UT 84010 · Davis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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 3

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

TAYLOR MARIE KRUPP PA-C
Physician Assistant
1551 RENAISSANCE TOWNE DR STE 500
BOUNTIFUL, UT 84010
Davis County (801) 295-7200
MS. STEPHANIE LYNN BLUNDELL NP-C
Orthopaedic Surgery
1551 RENAISSANCE TOWNE DR STE 500
BOUNTIFUL, UT 84010
Davis County (801) 295-7200
MOUNTAIN ORTHOPAEDICS LLC
Orthopaedic Surgery
1551 RENAISSANCE TOWNE DR STE 500
BOUNTIFUL, UT 84010
Davis County (801) 295-7200

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 Nicole Peterson's NPI number?

The NPI number for Nicole Peterson is 1144694068. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Nicole Peterson located?

Nicole Peterson practices at 1551 Renaissance Towne Dr Ste 500, Bountiful, UT 84010. The listed phone number is (801) 295-7200.

What is Nicole Peterson's specialty?

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

Is Nicole Peterson enrolled in Medicare?

Yes. Nicole Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Peterson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Nicole Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Peterson affiliated with any hospitals?

According to CMS data, Nicole Peterson is affiliated with Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Peterson was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.