Individual provider Active NPI

Maria Ruth Hoegh, APRN

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1053085050
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12359468-4405 Issued in UT
Practice address
1055 N 500 W BLDG a
Provo, UT 84604-3305
Phone
(801) 812-5033
NPI assigned
Aug 3, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12359468-4405 UT
Family Nurse Practitioner 363LF0000X A164279 IA
Family Nurse Practitioner 363LF0000X 12359468-4405 UT Primary

Addresses

Primary practice location

1055 N 500 W BLDG a
Provo, UT 84604-3305

Mailing address

1055 N 500 W BLDG a
Provo, UT 84604-3305
Phone (801) 812-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211227000598 UT Practitioner - Nurse Practitioner 9830580075 Reassigns benefits to 1 organization
I20240923000924 IA Practitioner - Nurse Practitioner 9830580075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A164279IAMDFamily Nurse Practitioner
12359468-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Revere Health PC CurrentSince Jan 3, 2022 Accepting new patients
Revere Health PC CurrentSince Jan 3, 2022 Accepting new patients
Cass County Memorial Hospital Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
Ste 100
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
Ste 120
Atlantic, IA 50022
Phone (712) 243-2850

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

1400 Senate Ave
Ste 105
Red Oak, IA 51566
Phone (712) 623-7250

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1053085050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W BLDG A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W BLDG A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEGH",
        "first_name": "MARIA",
        "middle_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "12359468-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A164279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12359468-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.