Madeliene Alexandra Peterson
Certified Registered Nurse Anesthetist · American Fork, UT
Madeliene Alexandra Peterson is a certified registered nurse anesthetist with a practice address in American Fork, Utah, and NPI 1003698507, issued on Oct 18, 2023. Check the license (Utah 12058297-4406, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Madeliene Alexandra Peterson
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 12058297-4406 UT
12058297-3102 UT
Self-reported in NPPES; status is on the state search - Practice location
- 170 N 1100 E, American Fork, UT 84003
- Phone
- (801) 855-3300
- Enumerated
- Oct 18, 2023
- Record last updated
- Apr 29, 2025
- Medicare enrollment
- Enrolled (PECOS I20240223000397); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 170 N 1100 E
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Carl Ahroon, M.DInternal Medicine Physician1417185372
- Brandon Barney, M.D.Radiation Oncology Physician1194961789
- Amanda Beers, PTPhysical Therapist1992378996
- Brandy Bennett, P.T.Physical Therapist1396867438
- Preston Bird, CRNACertified Registered Nurse Anesthetist1184058570
- Michael Blaney, CRNACertified Registered Nurse Anesthetist1225302938
Verify Madeliene Alexandra Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 12058297-4406Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $16.63
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Nph Anesthesia OF Utah LLCOgden, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
19 certified registered nurse anesthetist records list a practice address in American Fork
They are 19 of the 1,005 NPPES records with a practice address in American Fork, and 347 certified registered nurse anesthetist records in Utah.
All 19 in American Fork → All 347 in Utah → Every provider in American Fork →
Other certified registered nurse anesthetist records in Utah
- Seyedeh Adabkhah, BSN, RN, DNP, CRNASalt Lake City, UT1114569555
- Holden Adams, RNOrem, UT1508520099
- Matthew Adams, CRNASalt Lake City, UT1013013838
- Miquela Afshar, CRNASalt Lake City, UT1508238551
- Taylor Albrecht, CRNATooele, UT1932030996
- Gage Alexander, DNAP, RN, CRNASalt Lake City, UT1255291266
- Randi Allak, CRNASalt Lake City, UT1982233664
- Brandon Allen, DNAPWest Jordan, UT1902409113
- Malcolm Allen, CRNAOrem, UT1992809529
- Connor Anderl, CRNAOgden, UT1437160645
Common questions
What is Madeliene Alexandra Peterson's NPI number?
Madeliene Alexandra Peterson's National Provider Identifier (NPI) is 1003698507, issued on Oct 18, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Madeliene Alexandra Peterson located?
The NPPES record lists a practice address at 170 N 1100 E, American Fork, UT, 84003. Phone: (801) 855-3300. Providers update this record themselves, so call before visiting.
How can I verify Madeliene Alexandra Peterson's license?
NPPES lists Utah license number 12058297-4406, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.