KELSEA MICHELLE PETERSON PA-C
NPI 1306316849
Physician Assistant in Salt Lake City, UT

Active since November 27, 2018PECOS Enrolled
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1070 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2023, May 16, 2019, Nov 27, 2018 (3 updates tracked since 2018).

About Kelsea Michelle Peterson Pa-c NPPES

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

KELSEA MICHELLE PETERSON PA-C (NPI 1306316849) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (11293178-1206) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306316849
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEA MICHELLE PETERSONCredential: PA-C
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Enumeration DateNovember 27, 2018
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2022
NPI 1306316849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 11293178-1206
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Other Names 1

Former Name (1)Kelsea Michelle Struski Pa-c

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 (PECOS)

Kelsea Michelle Peterson Pa-c 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 84113 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 20

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

Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

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 Kelsea Peterson's NPI number?

The NPI number for Kelsea Peterson is 1306316849. It was assigned to this individual provider in the NPPES registry on November 27, 2018. The provider is also known as Kelsea Michelle Struski Pa-C.

Where is Kelsea Peterson located?

Kelsea Peterson practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1070.

What is Kelsea Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsea Peterson enrolled in Medicare?

Yes. Kelsea Peterson is registered in the Medicare PECOS enrollment system.

What insurance does Kelsea Peterson accept?

Health plans from Select Health list Kelsea 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 Kelsea Peterson was last updated on March 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.