PETER JOEL CHRISTIANSEN (PA-C) – Medical Physician Assistant, NPI 1588286579

PETER JOEL CHRISTIANSEN (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11558572-1206 (UT). The NPI Number for PETER JOEL CHRISTIANSEN (PA-C) is 1588286579

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PETER JOEL CHRISTIANSEN (PA-C)
NPI
1588286579
Phone
(801) 581-7822
Address
30 N 1900 E
Enumeration Date
12 May 2020
Last Update Date
27 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087173100
Graduation Year
2019 (7 years ago)
PAC ID
5597186916
Group Practice PAC ID
2264773373
Professional Enrollment ID
I20221005001597
Address ID
ID835014118LE2201XGRAD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for PETER JOEL CHRISTIANSEN (PA-C)

  • 30 N 1900 E

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-7822

    Type: Location

  • 8247 S MAPLE WATER DR

    WEST JORDAN, UT 840815737

    Phone: (801) 448-9989

    Type: Mailing

  • 3665 S 8400 W STE 110

    MAGNA, UT 840444907

    Phone: (801) 250-9638

    Fax: (801) 250-3204

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Lilly USA, LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lilly USA, LLC$19
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200610001736IPhysician AssistantUTTBD
I20221005001597IPhysician AssistantIDTBD
I20230323003321IPhysician AssistantWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1814$0
99214Established patient office or other outpatient visit, 30-39 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264773373View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantID
Physician AssistantID
Physician AssistantCT
Nurse PractitionerID
Physician AssistantWA
-ID
Physician AssistantFL
Physician AssistantID
Physician AssistantID

Reviews

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Frequently asked questions

How do I look up PETER JOEL CHRISTIANSEN (PA-C) by NPI?
Use NPI 1588286579 when you need to reference PETER JOEL CHRISTIANSEN (PA-C) in forms, claims, or directories.
Is PETER JOEL CHRISTIANSEN (PA-C) active in the national directory?
PETER JOEL CHRISTIANSEN (PA-C)'s public NPI profile is in an active state.
Does PETER JOEL CHRISTIANSEN (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for PETER JOEL CHRISTIANSEN (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place PETER JOEL CHRISTIANSEN (PA-C)?
The snapshot lists Salt Lake City, Utah for PETER JOEL CHRISTIANSEN (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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