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

Madeliene Alexandra Peterson

Individual provider Registered Nurse · NPI 1003698507

Madeliene Alexandra Peterson is a Certified Registered Nurse Anesthetist (CRNA) in American Fork, Utah. Practices with Nph Anesthesia of Utah LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Utah.

Licensed in
UT
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

170 N 1100 E
American Fork, UT 84003-2961
Phone: (801) 855-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 12058297-4406 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 12058297-3102 (UT)

Record details

NPI number1003698507
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2023
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Group practice Nph Anesthesia Of Utah Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in American Fork