Provider Profile

Nicole Petersen

Unclaimed Profile

About Nicole Petersen

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Education & Training

School Other Graduated: 2024

Specialty

Nurse Practitioner — Family (Primary)

Credentials & Licensing

UT license11102214-4405
NPI1710840012
NPI issued12/04/2025

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Nicole Petersen's specialty?

Nicole Petersen is a nurse practitioner in Draper, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where can I find Nicole Petersen?

Nicole Petersen is listed at 14942 S Vintage View CT, Draper, UT 84020. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Nicole Petersen?

The number on file is (307) 679-4886. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Nicole Petersen's NPI number?

Nicole Petersen's National Provider Identifier is 1710840012. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Nicole Petersen's education?

Nicole Petersen attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Nicole Petersen been practicing?

Nicole Petersen has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Nicole Petersen confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole Petersen. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.