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

Viktoryia Petrusevich, CNM

Individual provider Midwife · NPI 1821584012

Viktoryia Petrusevich, CNM is a Certified Nurse Midwife (CNM) in Salt Lake City, Utah. Qualified in 2018, 8 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Licensed in
UT
In the registry since
2018
Specialties on file
3
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

370 E 9th Ave Ste 101
Salt Lake City, UT 84103-3186
Phone: (801) 507-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Dean Lakes Blvd Ste 120, Shakopee, MN 55379-2850 — (952) 496-6700

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 14219578-4402 (UT)
Midwife Taxonomy 176B00000X
Midwife Taxonomy 176B00000X · Licence 14219578-4402 (UT)

Record details

NPI number1821584012
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedJuly 10, 2018
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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