DR. ALICIA PETERSON M.D.
NPI 1215296561
Emergency Medicine in Salt Lake City, UT
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
6Medicare enrollment records show Alicia Peterson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah and Wyoming enrollments
- Also billed through NPI 1285038083 (Wyoming)
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84102
- Reassigned Medicare billing, Utah enrollment
- 316 clinicians in this Medicare group
Jackson, WY 83001
- Reassigned Medicare billing, Wyoming enrollment
- 114 clinicians in this Medicare group
Deer River, MN 56636
- Reassigned Medicare billing, Minnesota enrollment
- 171 clinicians in this Medicare group
Sandstone, MN 55072
- Reassigned Medicare billing, Minnesota enrollment
- 129 clinicians in this Medicare group
Aurora, MN 55705
- Reassigned Medicare billing, Minnesota enrollment
- 119 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.
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.
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, WYPhysician 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.
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.
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 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.
Where is Alicia Peterson located?
Alicia Peterson practices at 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132. The listed phone number is (863) 263-4012.
What is Alicia Peterson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Alicia Peterson enrolled in Medicare?
Yes. Alicia 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.
Which organizations bill Medicare for Alicia Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Peterson reassigns Medicare benefits to 6 organizations: University Of Utah Adult Services (Salt Lake City, UT), Emergency Physicians Integrated Care, LLC (Salt Lake City, UT), Teton County Hospital District (Jackson, WY), Deer River Healthcare Center, Inc. (Deer River, MN), Pine Medical Center (Sandstone, MN) and 1 more organization, listed in the Medicare section above. Each 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 Alicia Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Peterson accept?
Health plans from Blue Cross Blue Shield of Wyoming list Alicia 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 Alicia Peterson affiliated with any hospitals?
According to CMS data, Alicia Peterson is affiliated with St Johns Medical Center.
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.
# Dr. Alicia Peterson, M.D. · NPI 1215296561
Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 7, 2012.
## Identity
- **NPI:** 1215296561 (Entity type: Individual)
- **Enumerated:** May 7, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 50088 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 N 1900 E RM 1C026, Salt Lake City, UT 84132-0002
- **Phone:** (863) 263-4012
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1093119893, Salt Lake City, UT); Emergency Physicians Integrated Care, LLC (NPI 1578598199, Salt Lake City, UT); Teton County Hospital District (NPI 1457665333, Jackson, WY); Deer River Healthcare Center, Inc. (NPI 1215041199, Deer River, MN); Pine Medical Center (NPI 1326041633, Sandstone, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** November 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215296561) · Data from the CMS NPPES public registry.