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

Q: 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.

Q: What is Natasha Peterson's specialty?

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

Q: 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.

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: August 23, 2026.

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

On this page

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

Phone(435) 604-0160

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

Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health.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

Quality

92.19

Promoting Interoperability

100

Improvement Activities

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.

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.