1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Nurse Practitioner
  6. NPI Profile

TIFFANI PETERSEN NP
NPI 1255968681
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 601, PROVO, UT 84604(801) 357-7525 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Feb 23, 2021, Jul 7, 2020 and 1 more (4 updates tracked since 2020).

About Tiffani Petersen Np NPPES

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

TIFFANI PETERSEN NP (NPI 1255968681) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (7453288-4405) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255968681
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANI PETERSENCredential: NP
Location Address395 W COUGAR BLVD STE 601Provo, UT 84604-3331
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7525
Phone(801) 357-7525
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1255968681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 7453288-4405
395 W COUGAR BLVD STE 601, Provo, UT 84604
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffani Petersen Np 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 ID9234546177
PECOS Enrollment IDI20210322001120
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.

Medicare Billing Reassignment

Medicare enrollment records show Tiffani Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Surgery
395 W COUGAR BLVD STE 802
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1710136742 (801) 357-1030

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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 9

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

AARON WILLIAM SANDERS DO
Psychiatry & Neurology (Psychiatry)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
MATTHEW D. TORBENSON MD
Psychiatry & Neurology (Psychiatry)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
MATTHEW SWENSON
Psychiatry & Neurology (Psychiatry)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
EILEEN M BOOTH PHD
Psychologist (Clinical)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
RICHARD JASON SAUQUE LCSW
Social Worker (Clinical)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
ANDREA CALL
Social Worker (Clinical)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7191
PAIGE CREE CHARDAVOYNE MD
Psychiatry & Neurology (Psychiatry)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525
DR. BRADY PHIL CURTIS NP
Nurse Practitioner (Psychiatric/Mental Health)
395 W COUGAR BLVD STE 601
PROVO, UT 84604
Utah County (801) 357-7525

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 Tiffani Petersen's NPI number?

The NPI number for Tiffani Petersen is 1255968681. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Tiffani Petersen located?

Tiffani Petersen practices at 395 W Cougar Blvd Ste 601, Provo, UT 84604. The listed phone number is (801) 357-7525.

What is Tiffani Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiffani Petersen enrolled in Medicare?

Yes. Tiffani Petersen 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 organization bills Medicare for Tiffani Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffani Petersen reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). The 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 Tiffani Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffani Petersen accept?

Health plans from Select Health list Tiffani 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 Tiffani Petersen was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.