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

Nicole Sheree Peterson, PA-C

Individual provider Physician Assistant · NPI 1144694068

Nicole Sheree Peterson, PA-C is a Physician Assistant in Bountiful, Utah. Qualified in 2015, 11 years ago. Practices with Mountain Orthopaedics LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
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

1551 Renaissance Towne Dr Ste 500
Bountiful, UT 84010-7678
Phone: (801) 295-7200
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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 9495419-1206 (UT)

Record details

NPI number1144694068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 16, 2015
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mountain Orthopaedics Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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