KIERSTIN PETERSEN NP
NPI 1295106581
Nurse Practitioner - Family in Payson, UT

Active since October 12, 2015PECOS Enrolled
15 S 1000 E STE 300, PAYSON, UT 84651(801) 354-8225 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kierstin Petersen Np NPPES

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

KIERSTIN PETERSEN NP (NPI 1295106581) is an individual family provider in Payson, Utah, licensed in Utah (49296874405) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295106581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIERSTIN PETERSENCredential: NP
Location Address15 S 1000 E STE 300Payson, UT 84651-5592
Mailing Address1055 N 500 W, Attn: CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Sole ProprietorNo
Enumeration DateOctober 12, 2015
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedMarch 17, 2020
NPI 1295106581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in UT · 49296874405 Licensed in UT · 49296878900
15 S 1000 E STE 300, Payson, UT 84651

Secondary Practice Locations 2

Location 1972 N 600 ESpanish Fork, UT 84660-1306 · Phone (801) 465-4896
Location 2568 S Main StMonroe, UT 84754-4400 · Phone (435) 527-8866

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kierstin Petersen Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84651 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

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

Nurse Practitioner
15 S 1000 E STE 300
PAYSON, UT 84651

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 Kierstin Petersen's NPI number?

The NPI number for Kierstin Petersen is 1295106581. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Where is Kierstin Petersen located?

Kierstin Petersen practices at 15 S 1000 E Ste 300, Payson, UT 84651. The listed phone number is (801) 354-8225.

What is Kierstin Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kierstin Petersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kierstin Petersen was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.