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DEVIN FAYE PETERSEN
NPI 1154878692
Physician Assistant - Medical in Slc, UT

Active since September 01, 2016PECOS Enrolled
2995 E MIDDLETON WAY, SLC, UT 84124(801) 597-6419 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Devin Faye Petersen NPPES

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

DEVIN FAYE PETERSEN (NPI 1154878692) is an individual medical provider in Slc, Utah, licensed in Utah (IN PROCESS) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154878692
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDEVIN FAYE PETERSEN
Location Address2995 E MIDDLETON WAYSlc, UT 84124-3055
Mailing Address2995 E Middleton WaySlc, UT 84124-3055 · (801) 597-6419
Phone(801) 597-6419
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
✔ NPI 1154878692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in UT · IN PROCESS
2995 E MIDDLETON WAY, Slc, UT 84124
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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 (PECOS)

Devin Faye Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Devin Petersen's NPI number?

The NPI number for Devin Petersen is 1154878692. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Devin Petersen located?

Devin Petersen practices at 2995 E Middleton Way, Slc, UT 84124. The listed phone number is (801) 597-6419.

What is Devin Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Devin Petersen enrolled in Medicare?

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

What insurance does Devin Petersen accept?

Health plans from Select Health list Devin Petersen 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.

When was this NPI record last updated?

The NPPES record for Devin Petersen was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.