Individual provider Active NPI

Collin Stoker

  • Physician Assistant
  • Layton, UT
National Provider Identifier
1003624883
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2950 N Church St Ste 101
Layton, UT 84040-6504
Phone
(833) 686-4687
NPI assigned
Dec 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X UT Primary

Addresses

Primary practice location

2950 N Church St Ste 101
Layton, UT 84040-6504

Mailing address

2950 N Church St Ste 101
Layton, UT 84040-6504
Phone (801) 369-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002146 UT Practitioner - Physician Assistant 6406385434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Numinus Wellness Ut IncGroup PAC ID 2163750688, 50 clinicians

Practice addresses (Care Compare)

2950 N Church St
Suite 101
Layton, UT 84040-6504
Phone (801) 369-8989

672 W 400
Suite 201
Springville, UT 84663-3170
Phone (801) 369-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ogden Internal Medicine & Urology LLC PastSince Dec 29, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: collin.stoker.1@17324.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17324/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1003624883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N CHURCH ST STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406504",
            "telephone_number": "801-369-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N CHURCH ST STE 101",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406504",
            "telephone_number": "833-686-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKER",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.