Active NPI
Daniel Peterson, FNP-C
- Family Nurse Practitioner
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10366644-8900
- Practice address
- 470 E 3900 S Ste 200
Salt Lake City, UT 84107-2332 - Phone
- (801) 747-2800
- NPI assigned
- Apr 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10366644-8900 | UT | Primary |
Addresses
Primary practice location
470 E 3900 S Ste 200
Salt Lake City, UT 84107-2332
Mailing address
470 E 3900 S Ste 200
Salt Lake City, UT 84107-2332
Phone (801) 747-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260022408 | Other | UT | RAILROAD MEDICARE |
| 8760003008007 | Medicaid | UT | |
| 000055266 | Other | UT | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
470 E 3900
Suite 200
Salt Lake City, UT 84107-2332
Phone (801) 747-2800
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Ogden Regional Medical Center
- Evanston Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.65 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10366644-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Endocrinology Associates PLLC | Current | Accepting new patients |
Locations
470 E 3900 S
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 747-2800
5327 Adams Avenue Pkwy
Ste A
Washington Terrace, UT 84405
Phone (801) 747-2800
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Salt Lake City, UT
- NPI 1417121609
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1194411355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 E 3900 S STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072332",
"telephone_number": "801-747-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E 3900 S STE 200",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072332",
"telephone_number": "801-747-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "DANIEL",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-12",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "10366644-8900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260022408",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8760003008007",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "000055266",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.