Organization Active NPI

Mountain Peaks Family Practice LC

  • Health Service Clinic/Center
  • Orem, UT
National Provider Identifier
1023263969
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MOUNTAIN PEAKS FAMILY PRACTICE LC
Practice address
501 E 770 N
Orem, UT 84097-4102
Phone
(801) 724-9840
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Melissa Skala Bassett
Title
Manager
Phone
(801) 471-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

501 E 770 N
Orem, UT 84097-4102

Mailing address

501 E 770 N
Orem, UT 84097-4102
Phone (801) 724-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000240 UT Part B Supplier - Clinic/Group Practice 7012071442 Receives reassigned benefits from 3 practitioners
Practice locations: Orem, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0928175Mountain Peaks Family Practice501 East 770 North, Orem, UT 84097Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory

Locations

501 E 770 N
Orem, UT 84097
Phone (801) 235-1508

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1023263969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-724-9840",
            "fax_number": "801-235-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E 770 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974102",
            "telephone_number": "801-724-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAKS FAMILY PRACTICE LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SKALA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-471-5163"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.