JOY ELLEN PETERSEN APRN
NPI 1558930628
Nurse Practitioner in Murray, UT

Q: What is Joy Petersen's NPI number?

The NPI number for Joy Petersen is 1558930628. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Joy Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Joy Petersen was last updated on April 17, 2024. 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.

Active since June 22, 2021PECOS Enrolled

6065 S FASHION BLVD STE 255, MURRAY, UT 84107(801) 467-4210 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 17, 2024, Sep 7, 2023, Jun 22, 2021 (3 updates tracked since 2021).

On this page

About Joy Ellen Petersen Aprn NPPES

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

JOY ELLEN PETERSEN APRN (NPI 1558930628) is an individual nurse practitioner in Murray, Utah, licensed in Utah (11003295-4405) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Herriman.

NPPES Registry Identity

NPI1558930628

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJOY ELLEN PETERSENCredential: APRN

Location Address6065 S FASHION BLVD STE 255Murray, UT 84107-5403

Mailing Address6065 S Fashion Blvd Ste 255Murray, UT 84107-5403 · (801) 467-4210

Phone(801) 467-4210

Sole ProprietorNo

Enumeration DateJune 22, 2021

Last NPPES UpdateApril 17, 20243 updates tracked since enumeration

NPPES CertifiedApril 17, 2024

✔ NPI 1558930628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in UT · 11003295-4405

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6065 S FASHION BLVD STE 255, Murray, UT 84107

Open in Google Maps ↗

Secondary Practice Location 1

Location 15526 W 13400 S # 333Herriman, UT 84096-6919 · Phone (385) 786-0692

Other Identifiers 2

Other11003295-4405UT · State Of Utah Division Of Occupational & Professional Licensing

Other13860695-0151UT · State Of Utah Division Of Occupational & Professional Licensing

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joy Ellen Petersen Aprn 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 84107 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.

VICTOR VENEGAS

Nurse Practitioner

6065 S FASHION BLVD STE 255
MURRAY, UT 84107

Salt Lake County (801) 467-4210

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 Joy Petersen's NPI number?

The NPI number for Joy Petersen is 1558930628. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Joy Petersen located?

Joy Petersen practices at 6065 S Fashion Blvd Ste 255, Murray, UT 84107. The listed phone number is (801) 467-4210.

What is Joy Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Joy Petersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joy Petersen was last updated on April 17, 2024. 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.