Trevor Justin Peterson, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9034650-4405 Issued in UT

Practice address

2002 N Main St Ste 3
Cedar City, UT 84721-9812

Phone

(435) 867-1960

NPI assigned

Jan 20, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.05 of 100Reported as group

Quality

95.98

Improvement activities

40

Cost

78.84

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brett Robbins MSN RN CS FNP Inc

  dba Cedar Valley Medical Clinic

  • Family Nurse Practitioner
  • Cedar City, UT
  • NPI 1730365024
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1437749769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N MAIN ST STE 3",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219812",
            "telephone_number": "435-867-1960",
            "fax_number": "435-867-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N MAIN ST STE 3",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219812",
            "telephone_number": "435-867-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TREVOR",
        "middle_name": "JUSTIN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9034650-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Dwain Persons, PA-C MPAS
• James Tyler Petersen, D.C.
• Alex Peterson
• Kyle Peterson, LCMHC
• Terasa Lynn Peterson
• Kelcie Petty
• Riley F Phelps, DPT
• Braxton Pickett
• Pinnacle Youth Services, Inc
• Sarah Morgan Pinter, RBT

• Family Nurse Practitioner in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.

Verify at the official NPI Registry.