Individual provider Active NPI

Mindy Rae Gurley, FNP

  • Nurse Practitioner
  • Montezuma Creek, UT
National Provider Identifier
1053899690
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008093A Issued in IN
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

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307002981 UT Practitioner - Nurse Practitioner 3870845241 Reassigns benefits to 3 organizations

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
Utah Navajo Health System IncorporatedGroup PAC ID 1658275649, 47 clinicians

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 Hospital, Blanding, UT, CCN 461310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347619-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Navajo Health System, Incorporated CurrentSince Jul 1, 2021 Accepting new patients
Blue Mountain Hospital CurrentSince Jan 6, 2026 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

  • Direct secure messaging: mindy.gurley.1@16098.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.