Individual provider Active NPI

Stephen Berendson, FNP-C

  • Family Nurse Practitioner
  • Lehi, UT
National Provider Identifier
1124710017
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363451-4405 Issued in UT
Practice address
2506 W 2400 N
Lehi, UT 84043-5792
Phone
(801) 372-3889
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 363451-4405 UT Primary

Addresses

Primary practice location

2506 W 2400 N
Lehi, UT 84043-5792

Mailing address

2506 W 2400 N
Lehi, UT 84043-5792
Phone (801) 372-3889

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000665 UT Practitioner - Nurse Practitioner 1850313974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - Lindon Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Signify Health, LLC CurrentSince Apr 3, 2024 Accepting new patients
Premier Family Medical Family Medicine Current Accepting new patients
Premier Family Medical - Saratoga Springs Family Medicine Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

226 N 1100 E
American Fork, UT 84003
Phone (801) 756-6037

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 789-5566

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1124710017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 W 2400 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435792",
            "telephone_number": "801-372-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 W 2400 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435792",
            "telephone_number": "801-372-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENDSON",
        "first_name": "STEPHEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "363451-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.