NATASHA NICOLLE PETERSON
NPI 1972069532
Nurse Practitioner - Family in Park City, UT

Active since February 19, 2019PECOS Enrolled
95.7/100
CMS Quality Rating
STAT MD, 1784 UINTA WAY E, PARK CITY, UT 84098(435) 604-0160 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2021, Feb 19, 2019 (2 updates tracked since 2019).

About Natasha Nicolle Peterson NPPES

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

NATASHA NICOLLE PETERSON (NPI 1972069532) is an individual family provider in Park City, Utah, licensed in Utah (8454365-4405) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1972069532
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNATASHA NICOLLE PETERSON
Location AddressSTAT MD, 1784 UINTA WAY EPark City, UT 84098
Mailing Address3741 S Canley Vale CtSalt Lake City, UT 84115-3131 · (801) 699-6656
Sole ProprietorYes
Enumeration DateFebruary 19, 2019
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
NPI 1972069532 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 · 8454365-4405
STAT MD, 1784 UINTA WAY E, Park City, UT 84098

Secondary Practice Location 1

Location 1First Med 1950 E 7000 SSalt Lake City, UT 84121 · Phone (801) 943-3300

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 (PECOS)

Natasha Nicolle Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 84098 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972069532, enumerated as an "individual" on February 19, 2019.

The provider is located at STAT MD, 1784 UINTA WAY E PARK CITY, UT 84098 and the phone number is (435) 604-0160.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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