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
Hospital & facility affiliations 3
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
Ihc Health Services Inc
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
- Intermountain Medical Center
- Park City Hospital
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191016001317 | UT | Practitioner - Nurse Practitioner | 4587995949 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9029106-3102 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Brian J Williams MD PC | Current |
Accepting new patients | |
| Diabetic Foot Solutions | Nurse Practitioner | Current |
Accepting new patients |
| M R Hinckley MD PLLC | Past |
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
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
NPI Registry JSON
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.