ANNA LIND PETERSEN PA
NPI 1750577813
Physician Assistant - Medical in Salt Lake City, UT

NPI Status: Active since September 21, 2007

Contact Information

6360 S 3000 E
STE 100
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 365-1032
Fax: (801) 365-1036

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  • Individual
  • Female
  • Years of Experience 19
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANNA PETERSEN

This page provides the complete NPI Profile along with additional information for Anna Petersen, a primary care provider established in Salt Lake City, Utah with a medical specialization in Physician Assistant, focusing in medical and more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1750577813 assigned on September 2007. The practitioner's primary taxonomy code is 363AM0700X with license number 4985588-1206 (UT). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1750577813
Provider Name
ANNA LIND PETERSEN PA
Gender
Female
Entity Type
Individual
Location Address
6360 S 3000 E STE 100 SALT LAKE CITY, UT 84121
Location Phone
(801) 365-1032
Location Fax
(801) 365-1036
Mailing Address
2295 FOOTHILL DR SALT LAKE CITY, UT 84109
Mailing Phone
(801) 486-3021
Mailing Fax
(801) 365-1036
Medical School Name
OTHER
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
09-21-2007
Last Update Date
11-11-2021
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A primary care provider (PCP) like Anna Petersen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4985588-1206
License State
UT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Med Benchmark Expanded Bronze Select Copay Plan - HMO
  • Med Benchmark Expanded Bronze Standardized Plan - HMO
  • Med Benchmark Gold Standardized Plan - HMO
  • Med Benchmark Platinum - HMO
  • Med Benchmark Platinum Standardized Plan - HMO
  • Med Benchmark Silver 6000 Medical Deductible w/Vision - HMO
  • Med Benchmark Silver Standardized Plan - HMO
  • Med Gold 1500 Medical Deductible - HMO
  • Signature Benchmark Gold - HMO
  • Signature Benchmark Gold Standardized Plan - HMO
  • Signature Benchmark Silver 5900 Medical Deductible - HMO
  • Signature Benchmark Silver Standardized Plan - HMO
  • Value Benchmark Expanded Bronze Select Copay Plan - HMO
  • Value Benchmark Gold Standardized Plan - HMO
  • Value Benchmark Platinum - HMO
  • Value Benchmark Platinum Standardized Plan - HMO
  • Value Benchmark Silver 5900 Medical Deductible - HMO
  • Value Benchmark Silver Standardized Plan - HMO
  • Value Expanded Bronze 6900 Medical Deductible - HMO
  • Value Gold 1500 Medical Deductible - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4985588-1206OTHER (01)UTUT STATE LICENSE

Medicare Participation & PECOS Enrollment Status

Anna Petersen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Anna Petersen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6901993559

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071030000459

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Unknown

  • Treatment-Treatment - Miscellaneous (RX029N)

    Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)

    11 DME suppliers used 59 Medicare Claims 6330 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Mycophenolate mofetil, oral, 250 mg (HCPCS:J7517)

    7 DME suppliers used 27 Medicare Claims 5220 Services Paid

  • Treatment-Treatment - Miscellaneous (RX029N)

    Mycophenolic acid, oral, 180 mg (HCPCS:J7518)

    6 DME suppliers used 36 Medicare Claims 4440 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)

    14 DME suppliers used 48 Medicare Claims 48 Services Paid

  • Treatment-Chemotherapy (RH012N)

    Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)

    13 DME suppliers used 87 Medicare Claims 91 Services Paid

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Anna Petersen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MCKAY-DEE HOSPITAL4401 HARRISON BOULEVARD
OGDEN, UT 84403
(801) 387-2800Acute Care Hospitals
LDS HOSPITAL8TH AVENUE AND C STREET
SALT LAKE CITY, UT 84143
(801) 408-1100Acute Care Hospitals
INTERMOUNTAIN MEDICAL CENTER5121 SOUTH COTTONWOOD STREET
MURRAY, UT 84107
(801) 507-7000Acute Care Hospitals
ST. GEORGE REGIONAL HOSPITAL1380 EAST MEDICAL CENTER DRIVE
ST GEORGE, UT 84790
(435) 251-2100Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750577813, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 0 + 7 + 1 + 4 + 8 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1750577813.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Physician Assistant (Medical)
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Nurse Practitioner (Family)
6360 S 3000 E, SUITE 310
SALT LAKE CITY, UT 84121
Chiropractor (Sports Physician)
6360 S 3000 E, SUITE 360
SALT LAKE CITY, UT 84121
Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Internal Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Dietitian, Registered
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Clinic/Center (Physical Therapy)
6360 S 3000 E, SUITE 125
SALT LAKE CITY, UT 84121
Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Nurse Anesthetist, Certified Registered
6360 S 3000 E, SUITE 320
SALT LAKE CITY, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, STE 310
SALT LAKE CITY, UT 84121
Physician Assistant (Medical)
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, #310
SALT LAKE CITY, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, SUITE 310
SALT LAKE CITY, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, SUITE 310
SALT LAKE CITY, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, SUITE 310
SALT LAKE CITY, UT 84121
Physical Therapist
6360 S 3000 E, SUITE 210
SALT LAKE CITY, UT 84121
Orthopaedic Surgery
6360 S 3000 E
SALT LAKE CITY, UT 84121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750577813, enumerated as an "individual" on September 21, 2007.

The provider is located at 6360 S 3000 E STE 100 SALT LAKE CITY, UT 84121 and the phone number is (801) 365-1032.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Select Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Anna Petersen is affiliated with: MCKAY-DEE HOSPITAL, LDS HOSPITAL, INTERMOUNTAIN MEDICAL CENTER and ST. GEORGE REGIONAL HOSPITAL.