VIKTORYIA PETRUSEVICH CNM
NPI 1821584012
Advanced Practice Midwife in Salt Lake City, UT
About Viktoryia Petrusevich Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIKTORYIA PETRUSEVICH CNM (NPI 1821584012) is an individual advanced practice midwife in Salt Lake City, Utah, licensed in Utah (14219578-4402) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shakopee, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Viktoryia Petrusevich Cnm 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84103
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 Viktoryia Petrusevich's NPI number?
The NPI number for Viktoryia Petrusevich is 1821584012. It was assigned to this individual provider in the NPPES registry on July 10, 2018.
Where is Viktoryia Petrusevich located?
Viktoryia Petrusevich practices at 370 E 9th Ave Ste 101, Salt Lake City, UT 84103. The listed phone number is (801) 507-7070.
What is Viktoryia Petrusevich's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Viktoryia Petrusevich enrolled in Medicare?
Yes. Viktoryia Petrusevich 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 Viktoryia Petrusevich accept?
Health plans from Medica and Select Health list Viktoryia Petrusevich 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.
When was this NPI record last updated?
The NPPES record for Viktoryia Petrusevich was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Viktoryia Petrusevich, CNM · NPI 1821584012
Advanced Practice Midwife physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since July 10, 2018.
## Identity
- **NPI:** 1821584012 (Entity type: Individual)
- **Enumerated:** July 10, 2018
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 14219578-4402 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 370 E 9TH AVE STE 101, Salt Lake City, UT 84103-3186
- **Phone:** (801) 507-7070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1821584012) · Data from the CMS NPPES public registry.