Individual provider Active NPI

Alec Mecham

  • Family Nurse Practitioner
  • St George, UT
National Provider Identifier
1053186098
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10658415-4405 Issued in UT
Practice address
5866 S Sirius Way
St George, UT 84790-1318
Phone
(435) 229-6024
NPI assigned
Nov 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10658415-4405 UT Primary

Addresses

Primary practice location

5866 S Sirius Way
St George, UT 84790-1318

Mailing address

5866 S Sirius Way
St George, UT 84790-1318
Phone (435) 229-6024

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
I20241223001535 UT Practitioner - Nurse Practitioner 1355878869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Surgical Associates IncGroup PAC ID 4486686698, 48 clinicians

Practice addresses (Care Compare)

1490 E Foremaster Dr
Suite 200
Saint George, UT 84790-4496
Phone (435) 628-1641

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Surgical Associates, Inc. CurrentSince Feb 1, 2025 Accepting new patients

Locations

3550 N University Ave
Ste 250
Provo, UT 84604
Phone (801) 374-9625

1490 E Foremaster Dr
Ste 200
St George, UT 84790
Phone (435) 528-1641

Organizations & group practices 1

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.

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053186098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 S SIRIUS WAY",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901318",
            "telephone_number": "435-229-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S SIRIUS WAY",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847901318",
            "telephone_number": "435-229-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHAM",
        "first_name": "ALEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10658415-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.