Utah Neurological Clinic PC
A Medicare group practice based in Provo, UT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3375575582), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3375575582
- Provider type
- DME Supplier - Physician - Neurology, Part B Supplier - Clinic/Group Practice
- Enrolled in
- UT
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050908000923 | UT | Part B Supplier - Clinic/Group Practice | 1316165947 |
| O20260430001380 | UT | DME Supplier - Physician - Neurology | 1285420570 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Utah Neurological Clinic, PC
- Durable Medical Equipment & Medical Supplies
- Provo, UT
- NPI 1285420570
-
Utah Neurological Clinic, PC
- Orthopaedic Surgery of the Spine Physician
- Provo, UT
- NPI 1316165947
Practice locations
- Provo, UT2
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (3).
-
Matthew Jonathan Badger, FNP
- Nurse Practitioner
- Provo, UT
- NPI 1912029778
-
Adam Kimball Bevan, M.D., PH.D.
- Neurological Surgery Physician
- Provo, UT
- NPI 1992110787
-
John R Edwards, MD
- Neurological Surgery Physician
- Lehi, UT
- NPI 1568692887
-
Paul Kenneth Gardner, M.D.
- Neurological Surgery Physician
- Provo, UT
- NPI 1821012832
-
Lynn Miller Gaufin, M.D.
- Neurological Surgery Physician
- Provo, UT
- NPI 1205857158
-
David Reed Glassford, FNP
- Family Nurse Practitioner
- Provo, UT
- NPI 1285854612
-
Madelaine Marie Heideman
- Physician Assistant
- Provo, UT
- NPI 1811785876
-
Jon Adam Kimball, M.D.
- Orthopaedic Surgery of the Spine Physician
- Los Angeles, CA
- NPI 1053720565
-
Natalie Kimball, FNP
- Family Nurse Practitioner
- Provo, UT
- NPI 1497209381
-
Ryan Ray Loveless
- Physician Assistant
- Glendale, AZ
- NPI 1992313761
-
Naomi Shea Nielsen, NP-C
- Nurse Practitioner
- Provo, UT
- NPI 1407237217
-
Howard Reed Reichman, M.D.
- Neurological Surgery Physician
- Provo, UT
- NPI 1932123940
-
Kyle Kevin Sleight, NP
- Nurse Practitioner
- Provo, UT
- NPI 1720734973
-
David Mathias Smith, MD
- Neurological Surgery Physician
- Topeka, KS
- NPI 1770763732
-
Thomas James Tervort, DNP, NP-C
- Nurse Practitioner
- Las Vegas, NV
- NPI 1801382593
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.