Individual provider Active NPI

Anita M. Albanese, MD

  • Family Medicine Physician
  • Bountiful, UT
National Provider Identifier
1114505559
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13007561-1205 Issued in UT
Practice address
390 N Main St
Bountiful, UT 84010-6046
Phone
(801) 397-6301
Fax
(801) 397-6499
NPI assigned
Mar 29, 2021
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 81644 MN
Family Medicine Physician 207Q00000X 28860 NV
Family Medicine Physician 207Q00000X 04-51321 KS
Family Medicine Physician 207Q00000X 13007561-1205 UT Primary

Addresses

Primary practice location

390 N Main St
Bountiful, UT 84010-6046

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WA, KS, MN, NV5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20231108002057 UT Practitioner - Family Practice 5395120422 Reassigns benefits to 5 organizations
I20240718003803 WA Practitioner - Family Practice 5395120422 Reassigns benefits to 1 organization
I20250715004173 KS Practitioner - Family Practice 5395120422 Reassigns benefits to 1 organization
I20260206001931 MN Practitioner - Family Practice 5395120422 Reassigns benefits to 2 organizations
I20260428000880 NV Practitioner - Family Practice 5395120422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health - Redwood LLCGroup PAC ID 7911259619, shared by 6 NPIs, 42 clinicians
Commonspirit Kansas IncGroup PAC ID 4789595844, 62 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-2985

310 E Walnut St
Garden City, KS 67846-5572
Phone (620) 275-9752

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
72.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-51321KSMDFamily Medicine Physician
81644MNMDFamily Medicine Physician
28860NVMDFamily Medicine Physician
13007561-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kane County Human Resource Special Service District Current Accepting new patients
Kane County Human Resource Special Service District CurrentSince Aug 6, 2023 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 22, 2026 Accepting new patients
Kane County Human Resource Special Service District CurrentSince Aug 6, 2023 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 22, 2026 Accepting new patients
Carris Health - Redwood LLC CurrentSince Jan 22, 2026 Accepting new patients
Redwood Area Hospital Current Accepting new patients
St Catherine Hospital Family Medicine CurrentSince Aug 17, 2025 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
Swedish Health Services CurrentSince Jul 8, 2024 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

310 E Walnut St
Garden City, KS 67846
Phone (620) 275-9752

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

355 N Main St
Kanab, UT 84741
Phone (435) 644-4100

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1401 Madison St
#100
Seattle, WA 98104
Phone (206) 386-6054

1401 Madison St
Ste 100
Seattle, WA 98104
Phone (206) 386-6111

1801 NW Market St
Ste 403
Seattle, WA 98107
Phone (206) 297-5100

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: aalbanese3331493@wm.providencedirect.org
  • Direct secure messaging: anita.albanese.1@13794.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1114505559",
    "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": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106046",
            "telephone_number": "801-397-6301",
            "fax_number": "801-397-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE",
        "first_name": "ANITA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "81644",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "28860",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-51321",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "13007561-1205",
            "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 Bountiful, UT

Sources for this page

Verify at the official NPI Registry.