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JA NAE PETERSON FNP-C
NPI 1821711771
Nurse Practitioner - Family in Morgan, UT

Active since September 26, 2022PECOS Enrolled
188 N STATE ST, MORGAN, UT 84050(801) 721-9163 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ja Nae Peterson Fnp-c NPPES

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

JA NAE PETERSON FNP-C (NPI 1821711771) is an individual family provider in Morgan, Utah, licensed in Utah (214488-4405) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821711771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJA NAE PETERSONCredential: FNP-C
Location Address188 N STATE STMorgan, UT 84050-8001
Mailing Address188 N State StMorgan, UT 84050-8001 · (801) 721-9163
Phone(801) 721-9163
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1821711771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 214488-4405
188 N STATE ST, Morgan, UT 84050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ja Nae Peterson Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820562994
PECOS Enrollment IDI20260630003533
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84050 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.

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 Ja Nae Peterson's NPI number?

The NPI number for Ja Nae Peterson is 1821711771. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Ja Nae Peterson located?

Ja Nae Peterson practices at 188 N State St, Morgan, UT 84050. The listed phone number is (801) 721-9163.

What is Ja Nae Peterson's specialty?

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

Is Ja Nae Peterson enrolled in Medicare?

Yes. Ja Nae Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ja Nae Peterson was last updated on September 26, 2022. 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.