Kierstin Petersen, NP in Payson, UT - Medicare Nurse Practitioner

Kierstin Petersen, NP is a medicare enrolled "Nurse Practitioner - Family" in Payson, Utah. Her current practice location is 15 S 1000 E Ste 300, Payson, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 354-8225.

Kierstin Petersen is licensed to practice in Utah (license number 49296874405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295106581.

Contact Information

	Kierstin Petersen, NP
	15 S 1000 E Ste 300, Payson, UT 84651-5592
	(801) 354-8225
	Not Available

Map and Direction

Provider's Profile

Full Name	Kierstin Petersen
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15 S 1000 E Ste 300, Payson, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295106581
Provider Enumeration Date: 10/12/2015
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1254641293
Enrollment ID: I20151104000556

Medical Identifiers

Medical identifiers for Kierstin Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295106581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	49296878900 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	49296874405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kierstin Petersen allows following entities to bill medicare on her behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kierstin Petersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kierstin Petersen, NP 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Kierstin Petersen, NP 15 S 1000 E Ste 300, Payson, UT 84651-5592 Ph: (801) 354-8225

Reviews and Comments

Nurse Practitioner Nurses in Payson, UT

Dr. James Dean Christensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7000
Mrs. Kaitlyn Miller Albrecht, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896
Brandon Morgan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 S 100 E Ste 300, Payson, UT 84651 Phone: 801-382-9338
Melissa Keith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 Fax: 801-465-4107
Rocky Howell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7000
Mrs. Callene Bobo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 E 100 N, Payson, UT 84651 Phone: 801-465-7745 Fax: 801-465-7044

Kierstin Petersen, NP - Medicare Nurse Practitioner in Payson, UT