Denise Crismon
Individual provider Active NPI Women's Health Nurse Practitioner · Bluffdale, UT
NPI 1033952999 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1033952999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 120445344405 (UT)
- Practice address
- 13825 S Redwood Rd Ste 200
Bluffdale, UT 84065-5255 - Phone
- (801) 569-2626
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13825 S Redwoord Rd
Suite 200
Bluffdale, UT 84065
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120445344405 | UT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Valley Women'S Health Care, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 120445344405 | UT | Yes |
Addresses
Primary practice location
13825 S Redwood Rd Ste 200
Bluffdale, UT 84065-5255
Mailing address
13825 S Redwood Rd Ste 200
Bluffdale, UT 84065-5255
Phone (801) 569-2626
Other providers in Bluffdale, UT
- Bailey Cipriano
- Copper Sage Recovery Center
- Laura Corrigan
- Avery Cottle
- Karen Stones Crawford
- Mathew Croft
- Joshua Dunford
- Michael Dunn
- Shaylene Dye
- Elysium Labsource
All providers in Bluffdale, UT · Women's Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.