Tyler Peterson, NP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12611526-4405 Issued in UT

Practice address

134 N 200 E Ste 302
St George, UT 84770-2899

Phone

(288) 043-5288

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ascendant Behavioral Health LLCGroup PAC ID 1850673187, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Ascendant Behavioral Health LLC

  dba Ascendant Behavioral Health DBA LifeStance

  • Clinical Social Worker
  • Murray, UT
  • NPI 1689128605
  Medicare reassignment Care Compare group NPD
• Deborah a Christensen PHD & Associates, Inc

  • Psychologist
  • Draper, UT
  • NPI 1891955936
  Medicare reassignment NPD
• Ellsworth Foot and Ankle Clinic

  dba Summit Foot and Ankle

  • Podiatrist
  • Provo, UT
  • NPI 1932878030
  NPD
• Ellsworth Foot and Ankle Clinic

  • Foot & Ankle Surgery Podiatrist
  • Riverton, UT
  • NPI 1942549795
  NPD
• Larson & Hirschi Psychiatry PLLC

  dba Foundations Psychiatry

  • Psychiatry Physician
  • St George, UT
  • NPI 1598594079
  NPD

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1972491462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 W VERMILLION WIND LN",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 200 E STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702899",
            "telephone_number": "288-043-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TYLER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "12611526-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus L Peterson, MD
• Morgan Peterson
• Ryan Thomas Peterson, DPM
• Sierra Claudia Peterson, APRN
• Steffanie Peterson, NP-C
• Walter Peterson, OD
• Annaleese Petralia
• Gregory Michael Petralia
• Whitney Petrich
• Trevor W Pettingill, MPT

• Psychiatry Physician in St George, UT
• Providers in St George, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.