AMBER DAWN PETERSON (FNP-C) – Family Nurse Practitioner, NPI 1861187817
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for AMBER DAWN PETERSON (FNP-C)
140 E 1000 S STE B2
BRIGHAM CITY, UT 843024452
Phone: (435) 515-3030
Fax: (435) 515-3434
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $503.
Total Amount is formed as General ($503) + Research ($0) + Ownership ($0) = $503.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($167).
Total Amount
$503
General + Research + Ownership
Payments
8
Total payment records
General Amount
$503
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $167 |
| ABBVIE INC. | $125 |
| GlaxoSmithKline, LLC. | $122 |
| AstraZeneca Pharmaceuticals LP | $57 |
| Integra LifeSciences Corporation | $17 |
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: 2023-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230801004746 | I | Nurse Practitioner | UT | TBD |
| I20231016001283 | I | Nurse Practitioner | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT |
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