Individual provider Active NPI

Nyssa Elise Seaton, PA-C

  • Physician Assistant
  • Draper, UT
National Provider Identifier
1023730850
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14224194-1206 Issued in UT
Practice address
12101 S State St
Draper, UT 84020-9466
Phone
(801) 501-9797
Fax
(801) 501-9799
NPI assigned
Sep 19, 2022
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14224194-1206 UT Primary
Physician Assistant 363A00000X PA9118172 FL
Physician Assistant 363A00000X PA18456 TX

Addresses

Primary practice location

12101 S State St
Draper, UT 84020-9466

Mailing address

12101 S State St
Draper, UT 84020-9466
Phone (206) 616-4001

Other names 1

  • Dr. Nyssa Elise Seaton Professional name

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
I20260320002627 UT Practitioner - Physician Assistant 4587148135 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
Telehealth
Offers telehealth services
Group practices
Togo Healthcare LLCGroup PAC ID 2264973437, 9 clinicians

Practice addresses (Care Compare)

406 W S Jordan Pkwy
Suite 450
South Jordan, UT 84095-3946
Phone (801) 561-8398

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9118172FLMDPhysician Assistant
PA18456TXMDPhysician Assistant
14224194-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Biorestoration Medical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1023730850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 S STATE ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209466",
            "telephone_number": "206-616-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 S STATE ST",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840209466",
            "telephone_number": "801-501-9797",
            "fax_number": "801-501-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEATON",
        "first_name": "NYSSA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14224194-1206",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118172",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYSSA",
            "last_name": "SEATON",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "credential": "DMS, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.