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KIRSTIN CHANTELL PETERSON
NPI 1972291714
Nurse Practitioner - Psychiatric/Mental Health in Provo, UT

Active since April 28, 2023PECOS EnrolledAccepts Medicare Assignment
750 N FREEDOM BLVD STE 300, PROVO, UT 84601(801) 373-4760(801) 373-0639 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirstin Chantell Peterson NPPES

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

KIRSTIN CHANTELL PETERSON (NPI 1972291714) is an individual psychiatric/mental health provider in Provo, Utah, licensed in Utah (9813033-4405) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972291714
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIRSTIN CHANTELL PETERSON
Location Address750 N FREEDOM BLVD STE 300Provo, UT 84601-1690
Mailing Address750 N Freedom Blvd Ste 300Provo, UT 84601-1690 · (801) 373-4760 · Fax (801) 373-0639
Phone(801) 373-4760
Fax(801) 373-0639
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2023
NPPES CertifiedApril 28, 2023
✔ NPI 1972291714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in UT · 9813033-4405
750 N FREEDOM BLVD STE 300, Provo, UT 84601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, 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 and accepts Medicare assignment

Kirstin Chantell Peterson 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.

PECOS PAC ID8426592841
PECOS Enrollment IDI20240626003636
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 84601 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT JOEL BUSH M.D.
Family Medicine (Addiction Medicine)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 852-1443
BAYLEY KARMA SWAIN
Peer Specialist
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
SAMUEL DENIS RAUBENHEIMER
Case Manager/Care Coordinator
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
MADISON STEPHENS CASTRO CSW
Social Worker (Clinical)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
KEITH L LOBDELL
Case Manager/Care Coordinator
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
BRIALEE W TURNER CTRS
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
AUBREY GRACE BECKSTEAD CPSS
Peer Specialist
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760
DEVIN MONAHAN CMHC
Counselor (Mental Health)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Utah County (801) 373-4760

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 Kirstin Peterson's NPI number?

The NPI number for Kirstin Peterson is 1972291714. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Kirstin Peterson located?

Kirstin Peterson practices at 750 N Freedom Blvd Ste 300, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Kirstin Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kirstin Peterson enrolled in Medicare?

Yes. Kirstin Peterson 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 Kirstin Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Kirstin 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 Kirstin Peterson was last updated on April 28, 2023. 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.