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Active NPI 1144694068 Individual Practitioner Female Practitioner

Nicole Sheree Peterson , PA-C

Physician Assistant • Bountiful, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Peterson, PA-C is a certified Physician Assistant practicing in Bountiful, UT. With approximately 11 years of clinical experience since completing medical education in 2015, Nicole Peterson delivers high-quality medical care to the local community at 1551 RENAISSANCE TOWNE DR STE 500.

Nicole Peterson is affiliated with Mountain Orthopaedics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1551 Renaissance Towne Dr Ste 500

Bountiful, UT 840107678

Telephone 8012957200
Associated Practice Facility / Clinic
🏢 Mountain Orthopaedics Llc Facility NPI 1952019846

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bountiful, UT

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.8 yrs vs City Avg
City Avg: 12.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
33 Specialists

Practicing in Bountiful, UT (1904 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peterson (11 Years) 11 Yrs
Bountiful Specialty Average (12.8 Years) 12.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
35 34 $456.26 $168.79

Medical Specialties & State Licenses

CMS Verified: 2025-03-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 9495419-1206

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Mountain Orthopaedics Llc

1551 Renaissance Towne Dr, Bountiful, UT 840107676

Phone: 8012957200

Mountain Orthopaedics Llc

201 W Layton Pkwy, Layton, UT 840413692

Phone: 8012957200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Robert Jordan , MD

Orthopaedic Surgery

NPI 1013086883

Doctor of Medicine (M.D.)

Dr. Paul Johnson , MD

Orthopaedic Surgery

NPI 1053730606

Doctor of Medicine (M.D.)

Dr. Travis Hendry , MD

Orthopaedic Surgery

NPI 1124235312

Doctor of Medicine (M.D.)

Brandi Harris

Physician Assistant

NPI 1134629181
Dr. Braiden Heaps , MD

Orthopaedic Surgery

NPI 1245625102

Doctor of Medicine (M.D.)

James Scoville , PA-C

Physician Assistant

NPI 1265799308

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 04, 2025

Registered at 1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 840107678 (Tel: 8012957200)

📍
Updated Business Mailing Address March 04, 2025

Registered at 1551 RENAISSANCE TOWNE DR STE 500, BOUNTIFUL, UT 840107678 (Tel: 8012957200)

📍
Updated Practice Location February 15, 2023

Registered at 1901 W LUGONIA AVE STE 310, REDLANDS, CA 923749706 (Tel: 9095571650)

📍
Updated Business Mailing Address February 15, 2023

Registered at 1801 ORANGE TREE LN STE 200, REDLANDS, CA 923744587 (Tel: 8017122285)

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2015

Registered at 1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 840107676 (Tel: 8012957200)

📍
Updated Business Mailing Address November 16, 2015

Registered at 1551 RENAISSANCE TOWNE DR STE 400, BOUNTIFUL, UT 840107676 (Tel: 8012957200)

👤
Provider Name / Credentials Updated November 16, 2015

Recorded as NICOLE PETERSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Physician Assistant (License #9495419-1206 in UT)

🟢
Initial NPI Registration & Enumeration November 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144694068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2015
Last Update: March 04, 2025
Sole Proprietor: No

Mailing Address

1551 Renaissance Towne Dr Ste 500

Bountiful, UT 840107678

Phone: 8012957200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.