Active NPI
Mindy Rae Gurley, FNP
- Nurse Practitioner
- Montezuma Creek, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71008093A
- Practice address
- 1478 East Highway 162
Montezuma Creek, UT 84534-8453 - Phone
- (435) 651-3700
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 347619-4405 | UT | |
| Nurse Practitioner | 363L00000X | 71008093A | IN | Primary |
Addresses
Primary practice location
1478 East Highway 162
Montezuma Creek, UT 84534-8453
Mailing address
PO Box 130
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700
Other practice location 1
1380 E Medical Center Dr Ste 4100
St George, UT 84790-2156
Phone (435) 251-2900
Other practice location 2
1870 N Main St Ste 201
Cedar City, UT 84721-7742
Phone (435) 251-2900
Other practice location 3
11123 Parkview Plaza Dr Ste 101
Fort Wayne, IN 46845-1707
Phone (260) 425-6650
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Rainbow Rd
Navajo Mountain, UT 84511-3910
Phone (928) 672-2498
30 W Medical Dr
Monument Valley, UT 84536-0005
Phone (435) 727-3000
802 S 200
Blanding, UT 84511-3910
Phone (435) 678-3601
East Hwy 262
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700
PO Box
Montezuma Creek, UT 84534
PO Box
Montezuma Creek, UT 84534-0130
Hospital & facility affiliations
- Blue Mountain Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 347619-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Current | Accepting new patients | |
| Blue Mountain Hospital | Current | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Locations
802 S 200 W
Blanding, UT 84511
Phone (435) 678-3869
Interoperability endpoints
- mindy.gurley.1@16098.direct.athenahealth.com
- mindy.gurley.2@16299.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Montezuma Creek, UT
- NPI 1811991151
-
- Critical Access Hospital Clinic/Center
- Blanding, UT
- NPI 1558513812
-
- Family Medicine Physician
- Blanding, UT
- NPI 1457489486
-
- Land Ambulance
- Montezuma Creek, UT
- NPI 1598198434
-
- Family Medicine Physician
- Monument Valley, UT
- NPI 1699803635
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Blanding, UT
- NPI 1558513812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1053899690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "MONTEZUMA CREEK",
"state": "UT",
"postal_code": "845340130",
"telephone_number": "435-651-3700",
"fax_number": "435-678-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 EAST HIGHWAY 162",
"city": "MONTEZUMA CREEK",
"state": "UT",
"postal_code": "845348453",
"telephone_number": "435-651-3700"
}
],
"practiceLocations": [
{
"address_1": "1380 E Medical Center Dr Ste 4100",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847902156",
"country_code": "US",
"telephone_number": "435-251-2900",
"fax_number": "435-251-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1870 N Main St Ste 201",
"address_purpose": "LOCATION",
"city": "Cedar City",
"state": "UT",
"postal_code": "847217742",
"country_code": "US",
"telephone_number": "435-251-2900",
"fax_number": "435-251-2900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11123 Parkview Plaza Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451707",
"country_code": "US",
"telephone_number": "260-425-6650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GURLEY",
"first_name": "MINDY",
"middle_name": "RAE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2022-02-22",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "347619-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71008093A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montezuma Creek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.