Andrew Petersen, DO

ActiveIndividual ProviderFamily Medicine
NPI issued: August 31, 2005

Quick Facts

NPI Number
1124011572
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(801) 607-5268
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1124011572)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 31, 2005)
Data source: CMS NPPES

Provider Overview

ANDREW PETERSEN, DO is a Family Medicine provider based in Provo, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124011572
Provider TypeIndividual Provider
GenderMale
CredentialDO
StatusActive
Enumeration DateAugust 31, 2005

Practice Location

CityProvo
StateUT
ZIP Code84601-2669
Phone(801) 607-5268

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateUT

Mailing Address

CityProvo
StateUT
ZIP Code84601-2669
Phone(801) 607-5268
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1124011572 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1124011572for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124011572 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Andrew Petersen's NPI number?
Andrew Petersen's NPI number is 1124011572, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Andrew Petersen's NPI currently active?
Yes, Andrew Petersen's NPI status is Active as of the latest CMS NPPES database updates.
What does Andrew Petersen specialize in?
Andrew Petersen specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Andrew Petersen practice?
Andrew Petersen practices in Provo, UT 84601-2669.
When was Andrew Petersen's NPI issued?
Andrew Petersen's NPI was issued on August 31, 2005.
What is Andrew Petersen's provider type?
Andrew Petersen is registered as an Individual Provider under CMS NPI Type 1.