NATASHA NICOLLE PETERSON
NPI 1972069532
Nurse Practitioner - Family in Park City, UT
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Natasha Nicolle Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Natasha Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Park City, UT 84098
- Reassigned Medicare billing, Utah enrollment
- 295 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 Natasha Peterson's NPI number?
The NPI number for Natasha Peterson is 1972069532. It was assigned to this individual provider in the NPPES registry on February 19, 2019.
Where is Natasha Peterson located?
Natasha Peterson practices at Stat MD, 1784 Uinta Way E, Park City, UT 84098. The listed phone number is (435) 604-0160.
What is Natasha Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Natasha Peterson enrolled in Medicare?
Yes. Natasha Peterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Natasha Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Natasha Peterson reassigns Medicare benefits to University Of Utah Community Physicians Group (Park City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Natasha Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Natasha Peterson accept?
Health plans from Molina Healthcare and Select Health list Natasha Peterson 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 Natasha Peterson was last updated on December 20, 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.
# Natasha Nicolle Peterson · NPI 1972069532
Family physician in Park City, Utah. Individual provider, active in the CMS NPPES registry since February 19, 2019.
## Identity
- **NPI:** 1972069532 (Entity type: Individual)
- **Enumerated:** February 19, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 8454365-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** STAT MD, 1784 UINTA WAY E, Park City, UT 84098
- **Phone:** (435) 604-0160
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Community Physicians Group (NPI 1053715763, Park City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972069532) · Data from the CMS NPPES public registry.