Andrew Spencer Pettit, DNP, NP, FNP-BC in Taylorsville, UT

Andrew Spencer Pettit, DNP, NP, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Taylorsville, Utah. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mountainstar Medical Group-st. Marks Hospital Llc and his current practice location is 5360 S 2700 W, Taylorsville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 996-9761.

Andrew Spencer Pettit is licensed to practice in Utah (license number 8671455-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487200853.

Contact Information

	Andrew Spencer Pettit, DNP, NP, FNP-BC
	5360 S 2700 W, Taylorsville, UT 84129-1524
	(801) 996-9761
	(801) 996-9762

Map and Direction

Provider's Profile

Full Name	Andrew Spencer Pettit
Gender	Male
Speciality	Nurse Practitioner
Experience	7 Years
Location	5360 S 2700 W, Taylorsville, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Spencer Pettit graduated from nursing school in 2019

NPI Data:

NPI Number: 1487200853
Provider Enumeration Date: 08/12/2019
Last Update Date: 03/24/2026

Medicare PECOS Information:

PECOS PAC ID: 1254767247
Enrollment ID: I20230203001923

Medical Identifiers

Medical identifiers for Andrew Spencer Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487200853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8671455-4405 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountainstar Medical Group-st. Marks Hospital Llc	1557443322	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew Spencer Pettit allows following entities to bill medicare on his behalf.

Entity Name	Mountainstar Medical Group-st. Marks Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073795258 PECOS PAC ID: 1557443322 Enrollment ID: O20080201000093

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Spencer Pettit is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrew Spencer Pettit, DNP, NP, FNP-BC Po Box 198560, Atlanta, GA 30384-8560 Ph: () -	Andrew Spencer Pettit, DNP, NP, FNP-BC 5360 S 2700 W, Taylorsville, UT 84129-1524 Ph: (801) 996-9761

Reviews and Comments

Nurse Practitioner Nurses in Taylorsville, UT

Alicia Kathleen Fawson, APRN, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 385-478-2000
Mrs. Paige Jolynn Stodtmeister, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7711
Christopher Owen Hill, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2651 W Everettwood Dr, Taylorsville, UT 84129 Phone: 801-369-9372
Janice Lamborn, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3845 W 4700 S, Taylorsville, UT 84118 Phone: 801-840-2101
Alexis Gundersen Petersen, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6048 S Hazelhurst Dr, Taylorsville, UT 84129 Phone: 801-560-9124
Anna Vladimirovna Kasabyan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5770 S 1500 W, Taylorsville, UT 84123 Phone: 801-313-7770
Lisa Ann Ostrander, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1385 W 2200 S, Taylorsville, UT 84119 Phone: 801-944-0095

Andrew Spencer Pettit, DNP, NP, FNP-BC - Medicare Nurse Practitioner in Taylorsville, UT