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EMILSE ANTONIO PERAZA PA-C
NPI 1619252384
Physician Assistant in Salt Lake City, UT

Active since October 13, 2011PECOS EnrolledAccepts Medicare Assignment
1045 E 3900 S, SALT LAKE CITY, UT 84124(801) 261-2000(801) 262-5304 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2023, Mar 17, 2018, Nov 7, 2017 (3 updates tracked since 2017).

About Emilse Antonio Peraza Pa-c NPPES

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

EMILSE ANTONIO PERAZA PA-C (NPI 1619252384) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (6777964-1206) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in W. Wendover.

NPPES Registry Identity

NPI1619252384
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEMILSE ANTONIO PERAZACredential: PA-C
Location Address1045 E 3900 SSalt Lake City, UT 84124-1100
Mailing Address1045 E 3900 SSalt Lake City, UT 84124-1100 · (801) 261-2000 · Fax (801) 262-5304
Phone(801) 261-2000
Fax(801) 262-5304
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2011
Enumeration DateOctober 13, 2011
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
✔ NPI 1619252384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in UT · 6777964-1206✔ Licensed in NC · 0010-03160✔ Licensed in NV · PA1364
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.
1045 E 3900 S, Salt Lake City, UT 84124
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Secondary Practice Location 1

Location 1925 Wells AvenueW. Wendover, NV 89883 · Phone (775) 664-2220 · Fax (775) 664-2965

Other Identifiers 3

Other0010-03160NC · Nc Medical License
Other6777964-1206UT · Ut Pa License
OtherPA1364NV · Nv Pa License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare 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

Emilse Antonio Peraza Pa-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 ID7214101484
PECOS Enrollment IDI20200521002795
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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 2

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

DR. STEPHEN HIGGS BENNETT III M.D.
Specialist
1045 E 3900 S, SUITE 201
SALT LAKE CITY, UT 84124
Salt Lake County (801) 266-4212
KENNEDY ROSE LOBATO FNP
Nurse Practitioner (Family)
1045 E 3900 S
MILLCREEK, UT 84124
Salt Lake County (801) 260-3030

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 Emilse Peraza's NPI number?

The NPI number for Emilse Peraza is 1619252384. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Emilse Peraza located?

Emilse Peraza practices at 1045 E 3900 S, Salt Lake City, UT 84124. The listed phone number is (801) 261-2000.

What is Emilse Peraza's specialty?

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

Is Emilse Peraza enrolled in Medicare?

Yes. Emilse Peraza 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 Emilse Peraza accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Emilse Peraza 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 Emilse Peraza affiliated with any hospitals?

According to CMS data, Emilse Peraza is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Emilse Peraza was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.