Starlene Rose, NP

Individual provider Active NPI Nurse Practitioner · Murray, UT

NPI 1083276232 · NPPES record last updated Jan 30, 2026

Key facts

NPI
1083276232
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
9029106-3102 (UT)
Practice address
5171 S Cottonwood St
Murray, UT 84107-5704
Phone
(801) 507-9310
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetic Foot Solutions (4 clinicians)
Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

157 N 400
B7
Orem, UT 84057-1909
Phone (801) 797-0097

5171 S Cottonwood St
Salt Lake City, UT 84107-5704
Phone (801) 507-7751

Hospital & facility affiliations

  • Intermountain Health Heber Valley Hospital Hospital · Heber City, UT · CCN 461307
  • Intermountain Medical Center Hospital · Murray, UT · CCN 460010
  • Park City Hospital Hospital · Park City, UT · CCN 460057

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191016001317 UT Practitioner - Nurse Practitioner 4587995949 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9029106-3102UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Current
since Mar 30, 2026
Accepting new patients
Ihc Health Services Inc Current
since Mar 30, 2026
Accepting new patients
Brian J Williams MD PC Current
since Sep 3, 2019
Accepting new patients
Diabetic Foot Solutions Nurse Practitioner Current
since Aug 21, 2024
Accepting new patients
M R Hinckley MD PLLC Past
since Sep 3, 2019
Accepting new patients
Obstetrix Medical Group of Utah, PC Past Accepting new patients

Locations

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

602 E Fort Union Blvd
Fl 2
Midvale, UT 84047
Phone (801) 313-1010

602 E Fort Union Blvd
Midvale, UT 84047
Phone (801) 313-1010

157 N 400 W
Ste B7
Orem, UT 84057
Phone (801) 226-2421

157 N 400 W
#B7
Orem, UT 84057
Phone (801) 226-2421

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

395 W Cougar Blvd
Ste 101
Provo, UT 84604
Phone (801) 357-8156

3741 W 12600 S
Ste 220
Riverton, UT 84065
Phone (801) 285-2033

5171 S Cottonwood St
South Salt Lake, UT 84107
Phone (801) 507-4000

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9029106-3102 UT Yes

Addresses

Primary practice location

5171 S Cottonwood St
Murray, UT 84107-5704

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice location 1

602 E Fort Union Blvd
Midvale, UT 84047-2216
Phone (801) 313-1010

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Bluemark LLC/ Office Ally

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 30, 2026.

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1083276232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 E Fort Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840472216",
            "country_code": "US",
            "telephone_number": "801-313-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "STARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9029106-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC/ Office Ally",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

All providers in Murray, UT · Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.