JESSICA LORRAINE PETERSON
NPI 1558299172
Dietitian, Registered in Ogden, UT
About Jessica Lorraine Peterson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LORRAINE PETERSON (NPI 1558299172) is an individual dietitian, registered in Ogden, Utah, licensed in Utah (13593256-4901) and active in the NPI registry since May 2026. She is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Lorraine Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ogden, UT 84403
- Reassigned Medicare billing, Utah enrollment
- Also billed through NPI 1033240965 (Utah)
- 3,691 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.
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.
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 Jessica Peterson's NPI number?
The NPI number for Jessica Peterson is 1558299172. It was assigned to this individual provider in the NPPES registry on May 12, 2026.
Where is Jessica Peterson located?
Jessica Peterson practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-2800.
What is Jessica Peterson's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jessica Peterson enrolled in Medicare?
Yes. Jessica Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Peterson reassigns Medicare benefits to Ihc Health Services Inc (Ogden, 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 Jessica Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Peterson was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jessica Lorraine Peterson · NPI 1558299172
Dietitian, Registered provider in Ogden, Utah. Individual provider, active in the CMS NPPES registry since May 12, 2026.
## Identity
- **NPI:** 1558299172 (Entity type: Individual)
- **Enumerated:** May 12, 2026
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 13593256-4901 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 HARRISON BLVD, Ogden, UT 84403-3195
- **Phone:** (801) 387-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1366764813, Ogden, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558299172) · Data from the CMS NPPES public registry.