DR. ALICIA PETERSON M.D.
NPI 1215296561
Emergency Medicine in Salt Lake City, UT

Q: What is Alicia Peterson's NPI number?

The NPI number for Alicia Peterson is 1215296561. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Q: What is Alicia Peterson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Peterson was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 07, 2012PECOS EnrolledAccepts Medicare Assignment

30 N 1900 E RM 1C026, SALT LAKE CITY, UT 84132(863) 263-4012 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, Dec 4, 2020 (2 updates tracked since 2020).

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About Dr. Alicia Peterson M.d. NPPES

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

DR. ALICIA PETERSON M.D. (NPI 1215296561) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Arizona (50088) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Creighton University School Of Medicine (2012).

NPPES Registry Identity

NPI1215296561

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. ALICIA PETERSONCredential: M.D.

Location Address30 N 1900 E RM 1C026Salt Lake City, UT 84132-0002

Mailing Address30 N 1900 E Rm 1c026Salt Lake City, UT 84132-0002

Phone(863) 263-4012

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2012

Enumeration DateMay 7, 2012

Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration

NPPES CertifiedNovember 11, 2021

✔ NPI 1215296561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in AZ · 50088✔ Licensed in WY · TL3003✔ Licensed in MN · 62380✔ Licensed in UT · 9353662-1205

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

30 N 1900 E RM 1C026, Salt Lake City, UT 84132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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

Dr. Alicia Peterson M.d. 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 ID8426360447

PECOS Enrollment IDI20151111000421

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

151 services142 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

87 services87 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

86 services84 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530015

Location625 East BroadwayJackson, WY 83001 · Teton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

Other Providers at the Same Location NPPES 17

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

REBECCA E. PILKERTON MD

Emergency Medicine