Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aaron Stephen Peterson, PA-C

Individual provider Physician Assistant · NPI 1861040230

Aaron Stephen Peterson, PA-C is a Physician Assistant in Provo, Utah. Graduated from Duke University School of Medicine in 2023, 3 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
3
Trained at
Duke University School of Medicine
Licensed in
UT
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

395 W Bulldog Blvd
Provo, UT 84604-3311
Phone: (801) 357-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1055 N 500 W Ste 101, Provo, UT 84604-3305 — (801) 373-4366

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13396163-1206 (UT)

Record details

NPI number1861040230
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2019
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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