LISA PETERSON STEVENS NP
NPI 1619519469
Nurse Practitioner - Family in Salt Lake City, UT

Q: What is Lisa Stevens's NPI number?

The NPI number for Lisa Stevens is 1619519469. It was assigned to this individual provider in the NPPES registry on October 14, 2019. The provider is also known as Lisa Peterson Haney Rn.

Q: What is Lisa Stevens's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Stevens was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 14, 2019PECOS EnrolledAccepts Medicare Assignment

4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124(888) 949-4864 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 11, 2019, Oct 14, 2019 (2 updates tracked since 2019).

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About Lisa Peterson Stevens Np NPPES

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

LISA PETERSON STEVENS NP (NPI 1619519469) is an individual family provider in Salt Lake City, Utah, licensed in Utah (8739478-4405) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington Terrace, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619519469

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA PETERSON STEVENSCredential: NP

Location Address4460 S HIGHLAND DR STE 210Salt Lake City, UT 84124-3550

Mailing Address4460 S Highland Dr Ste 210Salt Lake City, UT 84124-3550 · (888) 949-4864

Phone(888) 949-4864

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 14, 2019

Last NPPES UpdateDecember 11, 20192 updates tracked since enumeration

✔ NPI 1619519469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 8739478-4405

Also ListedRegistered NurseTaxonomy 163W00000X · License 8739478-3102 (UT)

4460 S HIGHLAND DR STE 210, Salt Lake City, UT 84124

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Other Names 1

Former Name (1)Lisa Peterson Haney Rn

Secondary Practice Location 1

Location 15300 S 500 E Ste 6Washington Terrace, UT 84405-6955 · Phone (801) 392-0942

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, 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

Lisa Peterson Stevens Np 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 ID8224463559

PECOS Enrollment IDI20200115000794, I20220707002882

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services12 patients

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

$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 20

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

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