Doctor profile · Federal record
Dr. Madeliene Peterson
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · American Fork, UT
- NPI 1003698507
- Accepts Medicare
- 3 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
170 N 1100 E
American Fork, UT 840032961
(801) 855-3300 - Mailing address
-
2221 Lakeside Blvd Ste 600
Richardson, TX 750824416
Credentials & registration
- NPI registered
- October 2023 — 3 yrs on file
- Profile last updated
- April 29, 2025
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Utah #12058297-4406 · Utah #12058297-3102
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003698507. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $16.63 |
By nature of payment
Frequently asked questions
What is Dr. Madeliene Peterson's medical specialty?
Dr. Madeliene Peterson practices Certified Registered Nurse Anesthetist in American Fork, UT.
Where does Dr. Madeliene Peterson practice?
Dr. Madeliene Peterson practices at 170 N 1100 E, American Fork, UT 840032961. Office phone: 8018553300.
What is Dr. Madeliene Peterson's NPI?
Dr. Madeliene Peterson's National Provider Identifier (NPI) is 1003698507, issued by NPPES.
Does Dr. Madeliene Peterson accept Medicare assignment?
Yes. Dr. Madeliene Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.