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

Peter Joseph Clancy

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760337885

Peter Joseph Clancy is a Nurse Practitioner in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Gadzoom Health LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2026

Practice location Address checks out

73 E 200 N Apt 304
Provo, UT 84606-6671
Phone: (469) 264-4639
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11560202-8900 (UT)

Record details

NPI number1760337885
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 3, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address73 E 200 N Apt 304, Provo, UT 84606-6671

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 Gadzoom Health Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Provo