NPIMap

Organization Active NPI

Revere Health PC

Doing business as Revere Health

  • Multi-Specialty Clinic/Center
  • Provo, UT
National Provider Identifier
1093764805
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
REVERE HEALTH PC
Doing business as
Revere Health
Practice address
1055 N 500 W
Provo, UT 84604-3305
Phone
(801) 429-8000
Fax
(801) 429-8150
NPI assigned
May 9, 2006
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Elizabeth Hoyt
Title
Business Office Director
Phone
(801) 354-8225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1055 N 500 W
Provo, UT 84604-3305

Mailing address

1055 N 500 W
Credentialing Department
Provo, UT 84604-3305
Phone (801) 354-8225

Other names 1

  • Revere Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040113000805 UT Part B Supplier - Clinic/Group Practice 7517868508 Receives reassigned benefits from 544 practitioners
O20100930014471 UT DME Supplier - Multi-Specialty - Physician 7517868508 Practice locations: Provo, UT
O20120111000778 NV Part B Supplier - Clinic/Group Practice 7517868508 Receives reassigned benefits from 22 practitioners
Practice locations: Mesquite, NV

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 104)

350 Falcon Ridge Pkwy
Ste 500
Mesquite, NV 89027
Phone (725) 333-9026

1175 E 50 S
American Fork, UT 84003
Phone (719) 492-5994

1175 E 50 S
Ste 141
American Fork, UT 84003
Phone (801) 492-5996

1175 E 50 S
Ste 160
American Fork, UT 84003

1175 E 50 S
Ste 161
American Fork, UT 84003
Phone (801) 377-4623

1175 E 50 S
Ste 171
American Fork, UT 84003
Phone (801) 772-0698

1175 E 50 S
Ste 202
American Fork, UT 84003

1175 E 50 S
Ste 211
American Fork, UT 84003
Phone (801) 418-0807

1175 E 50 S
Ste 221
American Fork, UT 84003
Phone (801) 772-0775

1175 E 50 S
Ste 231
American Fork, UT 84003

1175 E 50 S
Ste 241
American Fork, UT 84003
Phone (801) 429-8008

33 N 490 W
American Fork, UT 84003
Phone (480) 855-6904

48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934

11576 S State St
Ste 103A
Draper, UT 84020

96 E Kimballs Ln
Ste 305
Draper, UT 84020
Phone (801) 655-5670

3714 E Campus Dr
Ste 102
Eagle Mountain, UT 84005
Phone (385) 203-1365

3714 E Campus Dr
Ste 106
Eagle Mountain, UT 84005
Phone (385) 203-1250

3943 E Pony Express Pkwy
#110A
Eagle Mountain, UT 84005
Phone (801) 756-5288

3943 E Pony Express Pkwy
#S110
Eagle Mountain, UT 84005

3943 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005

3943 E Pony Express Pkwy
Ste 110A
Eagle Mountain, UT 84005
Phone (801) 756-5288

4095 E Pony Express Pkwy
Eagle Mountain, UT 84005
Phone (801) 429-8037

191 S Main St
Ste 1
Ephraim, UT 84627
Phone (801) 655-5490

2850 N 2000 W
Ste 201
Farr West, UT 84404
Phone (801) 354-0941

700 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555

Networks

  • UT PPO C-SNPPlans: DEVOTED C-SNP CHOICE PREMIUM 003 UT (PPO C-SNP) (H4473-003-000, H4473); DEVOTED C-SNP CHOICE PLUS 007 UT (PPO C-SNP) (H4473-007-000, H4473)

Interoperability endpoints

  • Direct secure messaging: aaronobrien@cuccu.allscriptsdirect.net
  • Direct secure messaging: aaronpeterson@cuccu.allscriptsdirect.net
  • Direct secure messaging: aaronstarbuck@cuccu.allscriptsdirect.net
  • Direct secure messaging: aaronweaver@cuccu.allscriptsdirect.net
  • Direct secure messaging: aaronwilkerson@cuccu.allscriptsdirect.net
  • Direct secure messaging: abigailgunther@cuccu.allscriptsdirect.net
  • Direct secure messaging: adamireland@cuccu.allscriptsdirect.net
  • Direct secure messaging: adamjensen@cuccu.allscriptsdirect.net
  • Direct secure messaging: adamwing@cuccu.allscriptsdirect.net
  • Direct secure messaging: alainamiller@cuccu.allscriptsdirect.net
  • Direct secure messaging: alanerdmann@cuccu.allscriptsdirect.net
  • Direct secure messaging: alansmith@cuccu.allscriptsdirect.net
  • Direct secure messaging: alansutak@cuccu.allscriptsdirect.net
  • Direct secure messaging: albertpope@cuccu.allscriptsdirect.net
  • Direct secure messaging: allenday@cuccu.allscriptsdirect.net
  • Direct secure messaging: alliewood@cuccu.allscriptsdirect.net
  • Direct secure messaging: allisonfelshaw@cuccu.allscriptsdirect.net
  • Direct secure messaging: amandahoodnelson@cuccu.allscriptsdirect.net
  • Direct secure messaging: amandathomas@cuccu.allscriptsdirect.net
  • Direct secure messaging: amberbarker@cuccu.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Advanced Health Care of SalemSalem, UT, CCN 465189 Skilled nursing facility 5% Or Greater Direct Ownership Interest (51%)
Adp of the SNF		 Jan 25, 2016
Jun 10, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Ahc of Salem LLC

    dba Advanced Health Care of Salem

    • Skilled Nursing Facility
    • Salem, UT
    • NPI 1548706260

    5% Or Greater Direct Ownership Interest, Adp of the SNF

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 573

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 573

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1093764805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-429-8000",
            "fax_number": "801-429-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "801-354-8225"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revere Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.