Nicole Sheree Peterson, PA-C
Physician Assistant · Bountiful, UT
Nicole Sheree Peterson, PA-C is a physician assistant with a practice address in Bountiful, Utah, and NPI 1144694068, issued on Nov 16, 2015. Check the license (Utah 9495419-1206, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Sheree Peterson
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 9495419-1206 UT
Self-reported in NPPES; status is on the state search - Practice location
- 1551 Renaissance Towne Dr Ste 500, Bountiful, UT 84010
- Phone
- (801) 295-7200
- Enumerated
- Nov 16, 2015
- Record last updated
- Mar 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20250228000147); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,887 in Utah → Look up another NPI →
Also registered at 1551 Renaissance Towne Dr Ste 500
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Stephanie Blundell, NP-COrthopaedic Surgery Physician1932665239
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- Taylor Krupp, PA-CPhysician Assistant1396436705
Verify Nicole Sheree 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 9495419-1206Check 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: $23.50
1 payment: food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 64,719 providers of this specialty with any payment received $841.65 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
- Mountain Orthopaedics LLCBountiful, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Sheree Peterson among 1,887 physician assistant records in Utah
Nicole Sheree Peterson, PA-C is one of 1,887 physician assistant records with a practice address in Utah. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 41% of them.
- NPI issued2015 · 41% of these records are older, 55% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2015 · median 2018 among the 1,302 with a school on file
- Record last updated2025 · 39% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
33 physician assistant records list a practice address in Bountiful
They are 33 of the 1,328 NPPES records with a practice address in Bountiful, and 1,887 physician assistant records in Utah.
All 1,887 in Utah → Every provider in Bountiful → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Graham Burdett, PA-CBountiful, UT 840101962552984
- G Ellis, PA-CBountiful, UT 840101184840597
- Michael Gaffney, PA-CBountiful, UT 840101811947229
- Douglas Greene, PA-CBountiful, UT 840101467528588
- Mardiene Jeffs, PA-CBountiful, UT 840101770635195
- Melissa Ludwig, PA-CBountiful, UT 840101992959522
- Todd Lythgoe, PA-CBountiful, UT 840101477571065
- Christopher Martineau, PACBountiful, UT 840101457478562
Common questions
What is Nicole Sheree Peterson, PA-C's NPI number?
Nicole Sheree Peterson, PA-C's National Provider Identifier (NPI) is 1144694068, issued on Nov 16, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Sheree Peterson, PA-C located?
The NPPES record lists a practice address at 1551 Renaissance Towne Dr Ste 500, Bountiful, UT, 84010. Phone: (801) 295-7200. Providers update this record themselves, so call before visiting.
How can I verify Nicole Sheree Peterson, PA-C's license?
NPPES lists Utah license number 9495419-1206, 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.