Lisa Peterson Stevens, NP in Salt Lake City, UT

Lisa Peterson Stevens, NP is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valley Mental Health Incorporated, Valley Mental Health Incorporated and her current practice location is 4460 S Highland Dr Ste 210, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (888) 949-4864.

Lisa Peterson Stevens is licensed to practice in Utah (license number 8739478-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619519469.

Contact Information

	Lisa Peterson Stevens, NP
	4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550
	(888) 949-4864
	Not Available

Map and Direction

Provider's Profile

Full Name	Lisa Peterson Stevens
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	4460 S Highland Dr Ste 210, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lisa Peterson Stevens graduated from nursing school in 2019

NPI Data:

NPI Number: 1619519469
Provider Enumeration Date: 10/14/2019
Last Update Date: 12/11/2019

Medicare PECOS Information:

PECOS PAC ID: 8224463559
Enrollment ID: I20200115000794

Medical Identifiers

Medical identifiers for Lisa Peterson Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619519469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	8739478-3102 (Utah)	Secondary
363LF0000X	Nurse Practitioner - Family	8739478-4405 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Mental Health Incorporated	0042121196	61
Valley Mental Health Incorporated	0042121196	61

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. Lisa Peterson Stevens allows following entities to bill medicare on her behalf.

Entity Name	Valley Mental Health Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275599797 PECOS PAC ID: 0042121196 Enrollment ID: O20031111000937

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. Lisa Peterson Stevens 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
Lisa Peterson Stevens, NP 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 Ph: (888) 949-4864	Lisa Peterson Stevens, NP 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 Ph: (888) 949-4864

Reviews and Comments

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Lisa Peterson Stevens, NP - Medicare Nurse Practitioner in Salt Lake City, UT