NATASHA NICOLLE PETERSON – Family Nurse Practitioner, NPI 1972069532
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NATASHA NICOLLE PETERSON
STAT MD, 1784 UINTA WAY E
PARK CITY, UT 84098
Phone: (435) 604-0160
Type: Location
First Med 1950 E 7000 S
Salt Lake City, UT 84121
Phone: (801) 943-3300
Type: Location
3741, Canley Vale Court, South Salt Lake, Salt Lake County, Utah, 84115, United States
SALT LAKE CITY, UT 841153131
Phone: (801) 699-6656
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $946.
Total Amount is formed as General ($946) + Research ($0) + Ownership ($0) = $946.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($927).
Total Amount
$946
General + Research + Ownership
Payments
36
Total payment records
General Amount
$946
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 |
|---|---|
| ABBVIE INC. | $927 |
| MERZ NORTH AMERICA, INC. | $19 |
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: 2019-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20190524001725 | I | Nurse Practitioner | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 84098)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | UT | |
| - | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.