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

Mrs. Sheralee Dahle Petersen, PA-C

Individual provider Medical Physician Assistant · NPI 1114110921

Mrs. Sheralee Dahle Petersen, PA-C is a Physician Assistant in Murray, Utah. Qualified in 2006, 20 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
20
Licensed in
UT
In the registry since
2007
Specialties on file
3
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

5169 S Cottonwood St Ste 520
Murray, UT 84107-6756
Phone: (801) 507-3500
Fax: (801) 507-3505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5190165-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5190165-1206 (UT)
Registered Dietitian Taxonomy 133V00000X · Licence 5190165-4901 (UT)

Record details

NPI number1114110921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2007
Last updated in NPPESJune 23, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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