Tia Peterson, NP-C - Medicare Nurse Practitioner in Providence, UT

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Tia Peterson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Providence, Utah. Her current practice location is 435 N Gateway Dr Ste 801, Providence, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 787-1023.

Tia Peterson is licensed to practice in Utah (license number 324961-4405) 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 1902277908.

Contact Information

Tia Peterson, NP-C
435 N Gateway Dr Ste 801,
Providence, UT 84332-9004
(435) 787-1023
(435) 787-1882

Map and Direction




Provider's Profile

Full NameTia Peterson
GenderFemale
SpecialityNurse Practitioner - Family
Location435 N Gateway Dr Ste 801, Providence, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902277908
  • Provider Enumeration Date: 10/15/2015
  • Last Update Date: 03/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123328275
  • Enrollment ID: I20151123000989

Medical Identifiers

Medical identifiers for Tia Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902277908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 324961-4405 (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. Tia Peterson allows following entities to bill medicare on her behalf.
Entity NameDaniel J Huff Podiatry Dpm Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750580643
PECOS PAC ID: 5597857029
Enrollment ID: O20070828000806
Entity NameEric C. Chenworth, D.o.,p.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376887927
PECOS PAC ID: 2668615246
Enrollment ID: O20130829000420

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. Tia Peterson 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 AddressPractice Location Address
Tia Peterson, NP-C
435 N Gateway Dr Ste 801,
Providence, UT 84332-9004

Ph: (435) 787-1023		Tia Peterson, NP-C
435 N Gateway Dr Ste 801,
Providence, UT 84332-9004

Ph: (435) 787-1023

Reviews and Comments


Nurse Practitioner Nurses in Providence, UT

Angela C Thompson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 411 W 100 N Unit 412, Providence, UT 84332
Phone: 435-799-3840    Fax: 833-205-1005
Monica A Harris, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1078 S 800 E, Providence, UT 84332
Phone: 435-363-5770    
Leighanne Quarles, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 198 S 100 W, Providence, UT 84332
Phone: 801-201-0004    Fax: 866-503-6022
Wylee Kyle Jensen, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 190 S Highway 165, Providence, UT 84332
Phone: 435-755-3300    
Mr. Ben P Boyer, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 435 N Gateway Dr Ste 801, Providence, UT 84332
Phone: 435-787-1023    Fax: 435-787-1882
Natalie Jean Gibson, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 169 N Gateway Dr Ste 170, Providence, UT 84332
Phone: 435-213-3597    
Mrs. Adrianna Durrant, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 174 W 280 N, Providence, UT 84332
Phone: 435-232-4280    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.