Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003169053 Individual Practitioner Male Practitioner

Neil Peterson

Nurse Practitioner • Provo, UT

Professional Overview & Biography Verified Profile Summary

Neil Peterson is a registered healthcare professional specializing in Nurse Practitioner in Provo, UT. Practice services are available at 500 SPENCER W KIMBALL TOWER BLDG KMBL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Spencer W Kimball Tower Bldg Kmbl

Provo, UT 846024704

Telephone 8014224893
Fax 8014224893

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
99 Specialists

Practicing in Provo, UT (1143 Statewide)

Telehealth Adoption Rate
31.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License UT 9115286-4405

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License VA 0024169615

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 30, 2025

Registered at 500 SPENCER W KIMBALL TOWER BLDG KMBL, PROVO, UT 846024704 (Tel: 8014224893)

📍
Updated Business Mailing Address October 30, 2025

Registered at 500 SPENCER W KIMBALL TOWER BLDG KMBL, PROVO, UT 846024704 (Tel: 8014224893)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Nurse Practitioner (License #9115286-4405 in UT)

NPI Profile Active October 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 16, 2012

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816 (Tel: 4342430075)

📍
Updated Business Mailing Address October 16, 2012

Registered at 1215 LEE ST, CHARLOTTESVILLE, VA 229080816

👤
Provider Name / Credentials Updated October 16, 2012

Recorded as NEIL PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2012

Nurse Practitioner (License #0024169615 in VA)

🟢
Initial NPI Registration & Enumeration October 16, 2012

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: 1003169053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2012
Last Update: October 30, 2025
Sole Proprietor: Yes

Mailing Address

500 Spencer W Kimball Tower Bldg Kmbl

Provo, UT 846024704

Phone: 8014224893

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.