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

Andrew Spencer Pettit, DNP, NP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1487200853

Andrew Spencer Pettit, DNP, NP, FNP-BC is a Nurse Practitioner in Taylorsville, Utah. Qualified in 2019, 7 years ago. Practices with Mountainstar Medical Group-St Marks Hospital LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5360 S 2700 W
Taylorsville, UT 84129-1524
Phone: (801) 996-9761
Fax: (801) 996-9762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8671455-4405 (UT)

Record details

NPI number1487200853
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , NP , FNP-BC
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mountainstar Medical Group-St. Marks Hospital Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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