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

Clarissa L Peterson, PA

Individual provider Physician Assistant · NPI 1740513324

Clarissa L Peterson, PA is a Physician Assistant in Provo, Utah. Qualified in 2009, 17 years ago. Practices with Mountainlands Community Health Center Inc, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

299 E 900 S Ste 101
Provo, UT 84606-6107
Phone: (801) 374-9660
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 589 S State St, Provo, UT 84606-5056 — (801) 420-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7457934-1206 (UT)

Record details

NPI number1740513324
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 14, 2009
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mountainlands Community Health Center Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Provo