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

Maddison J Peterson

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1427922186

Maddison J Peterson is a Nurse Practitioner in Layton, Utah. Qualified in 2025, 1 year ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025

Practice location Address checks out

1756 W Antelope Dr
Layton, UT 84041-1143
Phone: (801) 773-4840
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence F09251161 (UT)

Record details

NPI number1427922186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address2028 S 4140 W, Ogden, UT 84401-6000

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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