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HALEY H PEDERSEN FNP-C
NPI 1346053980
Nurse Practitioner - Family in Riverton, UT

Active since January 28, 2025PECOS EnrolledAccepts Medicare Assignment
1543 W 12600 S STE 102, RIVERTON, UT 84065(801) 563-5121 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Haley H Pedersen Fnp-c NPPES

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

HALEY H PEDERSEN FNP-C (NPI 1346053980) is an individual family provider in Riverton, Utah, licensed in Utah (10383039-4405) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Riverton Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346053980
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHALEY H PEDERSENCredential: FNP-C
Location Address1543 W 12600 S STE 102Riverton, UT 84065-7176
Mailing Address11656 S Country Brook CtSouth Jordan, UT 84009-8032
Phone(801) 563-5121
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1346053980 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
License✔ Licensed in UT · 10383039-4405
1543 W 12600 S STE 102, Riverton, UT 84065
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Haley H Pedersen Fnp-c 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 ID1557885530
PECOS Enrollment IDI20250411000974
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.

Hospital Affiliations CMS Care Compare

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

Riverton Hospital

Acute Care Hospitals · Riverton, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460058
Location3741 West 12600 SouthRiverton, UT 84065 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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 2

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

DR. KENT J SMITH M.D.
Internal Medicine (Gastroenterology)
1543 W 12600 S STE 102
RIVERTON, UT 84065
Salt Lake County (801) 563-5121
JORDAN GRIFFETH NP
Nurse Practitioner
1543 W 12600 S STE 102
RIVERTON, UT 84065
Salt Lake County (801) 563-5121

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 Haley Pedersen's NPI number?

The NPI number for Haley Pedersen is 1346053980. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Haley Pedersen located?

Haley Pedersen practices at 1543 W 12600 S Ste 102, Riverton, UT 84065. The listed phone number is (801) 563-5121.

What is Haley Pedersen's specialty?

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

Is Haley Pedersen enrolled in Medicare?

Yes. Haley Pedersen 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.

What insurance does Haley Pedersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Haley Pedersen 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 Haley Pedersen affiliated with any hospitals?

According to CMS data, Haley Pedersen is affiliated with Riverton Hospital.

When was this NPI record last updated?

The NPPES record for Haley Pedersen was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.