Active NPI
Shelly Poole Messerly, P.A.
- Physician Assistant
- Layton, UT
National Provider Identifier
1073868550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8209840-1206
- Practice address
- 2086 N Robins Dr Ste D
Layton, UT 84041-1164 - Phone
- (385) 515-4100
- NPI assigned
- Jul 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8209840-1206 | UT | Primary |
Addresses
Primary practice location
2086 N Robins Dr Ste D
Layton, UT 84041-1164
Mailing address
2086 N Robins Dr Ste D
Layton, UT 84041-1164
Phone (385) 515-4100
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
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2086 N 1700
Suite D
Layton, UT 84041-1164
Phone (385) 515-4100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8209840-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salsman Chiropractic Health Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Infusion Therapy Clinic/Center
- Layton, UT
- NPI 1619402799
-
- Chiropractor
- Colorado Springs, CO
- NPI 1568647550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1073868550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2086 N ROBINS DR STE D",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411164",
"telephone_number": "385-515-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2086 N ROBINS DR STE D",
"city": "LAYTON",
"state": "UT",
"postal_code": "840411164",
"telephone_number": "385-515-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSERLY",
"first_name": "SHELLY",
"middle_name": "POOLE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "8209840-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.