SARAH J PETERSON RD
NPI 1194196667
Dietitian, Registered in Jackson, WY

Active since October 09, 2015Accepts Medicare Assignment
100/100
CMS Quality Rating
555 E BROADWAY AVE, STE 201, JACKSON, WY 83001(307) 739-7634(307) 739-7632 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Dec 12, 2015 (2 updates tracked since 2015).

About Sarah J Peterson Rd NPPES

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

SARAH J PETERSON RD (NPI 1194196667) is an individual dietitian, registered in Jackson, Wyoming, licensed in Wyoming (1016333) and active in the NPI registry since October 2015. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1194196667
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSARAH J PETERSONCredential: RD
Location Address555 E BROADWAY AVE, STE 201Jackson, WY 83001-8640
Mailing AddressPo Box 428Jackson, WY 83001-0428 · (307) 739-7634 · Fax (307) 739-7632
Fax(307) 739-7632
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 9, 2015
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1194196667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in WY · 1016333
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

555 E BROADWAY AVE, Jackson, WY 83001

Other Identifiers 1

Medicaid143782800WY

Accepted 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

Sarah J Peterson Rd 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 ID4385944958
PECOS Enrollment IDI20151203002262

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 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
$0.00 typical visit price
range $56.42 – $170.72
Typical copayment $0.00 (range $14.10 – $42.68)
Most-billed visit code NA
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant
555 E BROADWAY AVE
JACKSON, WY 83001
Nurse Practitioner (Family)
555 E BROADWAY AVE, STE 218
JACKSON, WY 83001
Physical Therapist
555 E BROADWAY AVE
JACKSON, WY 83001
Home Health
555 E BROADWAY AVE, STE 115
JACKSON, WY 83001
Physician Assistant (Medical)
555 E BROADWAY AVE
JACKSON, WY 83001
Counselor (Professional)
555 E BROADWAY AVE, SUITE 216
JACKSON, WY 83001
Physical Therapist
555 E BROADWAY AVE
JACKSON, WY 83001
Surgery
555 E BROADWAY AVE, SUITE 229
JACKSON, WY 83001

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 Sarah Peterson's NPI number?

The NPI number for Sarah Peterson is 1194196667. It was assigned to this individual provider in the NPPES registry on October 9, 2015.

Where is Sarah Peterson located?

Sarah Peterson practices at 555 E Broadway Ave Ste 201, Jackson, WY 83001. The listed phone number is (307) 739-7634.

What is Sarah Peterson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Sarah Peterson enrolled in Medicare?

Yes. Sarah 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 Sarah Peterson accept?

Health plans from Medica and UnitedHealthcare list Sarah 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.

When was this NPI record last updated?

The NPPES record for Sarah Peterson was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.