Viktoryia Petrusevich, CNM
NPI 1821584012 · Advanced Practice Midwife · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Certified Nurse Midwife (cnm) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Viktoryia Petrusevich, CNM is a Advanced Practice Midwife provider in Salt Lake City, UT (NPI 1821584012).
Provider details
- NPI number
- 1821584012
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Midwife176B00000X
Other Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4201 Dean Lakes Blvd Ste 120Shakopee, MN 55379-2850Phone: (952) 496-6700
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Viktoryia Petrusevich's NPI number?
- Viktoryia Petrusevich's National Provider Identifier (NPI) is 1821584012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Viktoryia Petrusevich's specialty?
- Viktoryia Petrusevich is listed in the NPPES registry with a primary specialty of Advanced Practice Midwife (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Viktoryia Petrusevich located?
- Viktoryia Petrusevich's practice location on file with NPPES is 370 E 9th Ave Ste 101, Salt Lake City, UT 84103-3186.
- What is Viktoryia Petrusevich's phone number?
- The practice phone number listed in the NPPES registry for Viktoryia Petrusevich is (801) 507-7070.
- Does Viktoryia Petrusevich accept Medicare?
- Viktoryia Petrusevich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Viktoryia Petrusevich's NPI active?
- Yes — Viktoryia Petrusevich's NPI (1821584012) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.