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

Maddison J Peterson

Individual provider Obstetrics & Gynecology Nurse Practitioner · NPI 1427922186

Maddison J Peterson is a Nurse Practitioner in Layton, Utah. Qualified in 2025, 1 year ago. Practices with Tanner Memorial Clinic, a 252-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2025

Practice location Address checks out

1756 W Antelope Dr
Layton, UT 84041-1143
Phone: (801) 773-4840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Nurse Practitioner (primary) Taxonomy 363LX0001X · Licence F09251161 (UT)

Record details

NPI number1427922186
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Tanner Memorial Clinic — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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