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

Active since September 21, 2007PECOS EnrolledAccepts Medicare Assignment
6360 S 3000 E, STE 100, SALT LAKE CITY, UT 84121(801) 365-1032(801) 365-1036 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anna Lind Petersen Pa NPPES

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

ANNA LIND PETERSEN PA (NPI 1750577813) is an individual medical provider in Salt Lake City, Utah, licensed in Utah (4985588-1206) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1750577813
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANNA LIND PETERSENCredential: PA
Location Address6360 S 3000 E, STE 100Salt Lake City, UT 84121-6923
Mailing Address2295 Foothill DrSalt Lake City, UT 84109-4000 · (801) 486-3021 · Fax (801) 485-6339
Fax(801) 365-1036
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2007
Last NPPES UpdateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
NPI 1750577813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 4985588-1206
6360 S 3000 E, Salt Lake City, UT 84121

Other Identifiers 1

Other4985588-1206UT · Ut State License

Accepted 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

Anna Lind Petersen Pa 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 ID6901993559
PECOS Enrollment IDI20071030000459
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
107 services37 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460004
Location4401 Harrison BoulevardOgden, UT 84403 · Weber County
Emergency services Birthing friendly

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
11 suppliers59 claims6,330 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers27 claims5,220 services$0.16 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers36 claims4,440 services$0.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
14 suppliers48 claims48 services$18.37 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
13 suppliers87 claims91 services$12.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Neuromusculoskeletal Medicine, Sports Medicine
6360 S 3000 E, 210
SALT LAKE CITY, UT 84121
Family Medicine (Sports Medicine)
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Family Medicine (Sports Medicine)
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Internal Medicine (Infectious Disease)
6360 S 3000 E, STE 230
COTTONWOOD HEIGHTS, UT 84121
Pediatrics
6360 S 3000 E, SUITE 230
COTTONWOOD HEIGHTS, UT 84121
Family Medicine
6360 S 3000 E, STE 100
SALT LAKE CITY, UT 84121
Pediatrics
6360 S 3000 E, STE 230
COTTONWOOD HEIGHTS, UT 84121
Internal Medicine (Gastroenterology)
6360 S 3000 E, #310
SALT LAKE CITY, UT 84121

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 Anna Petersen's NPI number?

The NPI number for Anna Petersen is 1750577813. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Anna Petersen located?

Anna Petersen practices at 6360 S 3000 E Ste 100, Salt Lake City, UT 84121. The listed phone number is (801) 365-1032.

What is Anna Petersen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Anna Petersen enrolled in Medicare?

Yes. Anna Petersen 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 Anna Petersen accept?

Health plans from Select Health list Anna Petersen 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 Anna Petersen affiliated with any hospitals?

According to CMS data, Anna Petersen is affiliated with Utah Valley Hospital, Mckay-Dee Hospital, Lds Hospital, Intermountain Medical Center and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Anna Petersen was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.