Active NPI
Melanie Morrill Nelson, PA-C
- Medical Physician Assistant
- Bountiful, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 13050486-1206
- Practice address
- 1551 Renaissance Towne Dr Ste 370
Bountiful, UT 84010-7675 - Phone
- (801) 965-3600
- NPI assigned
- Jun 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 13050486-1206 | UT | Primary |
| Physician Assistant | 363A00000X | 13050486-1206 | UT |
Addresses
Primary practice location
1551 Renaissance Towne Dr Ste 370
Bountiful, UT 84010-7675
Mailing address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600
Other practice location 1
150 N Main St Ste 205
Heber City, UT 84032-1671
Phone (801) 965-3600
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221230001144 | UT | Practitioner - Physician Assistant | 4880064138 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Granger Medical Clinic PC
Practice addresses (Care Compare)
12391 S 4000
Riverton, UT 84096-7012
Phone (801) 302-1700
2965 W 3500
West Valley City, UT 84119-3602
Phone (801) 965-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granger Medical Clinic PC | Current | Accepting new patients | |
| Granger Medical Clinic PC | Current | Accepting new patients | |
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients | |
| Granger Medical Specialists, LLC | Current | Accepting new patients | |
| After Hours Medical LLC, Dba Medallus Medical | Current | Accepting new patients | |
| Granger Medical Clinic PC | Past | Accepting new patients |
Locations
1551 Renaissance Towne Dr
Ste 370
Bountiful, UT 84010
Phone (801) 292-4425
1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600
8178 Gorgoza Pines Rd
Unit 8H
Park City, UT 84098
Phone (801) 747-7244
12391 S 4000 W
Riverton, UT 84096
Phone (801) 302-1700
995 W Levoy Dr
Taylorsville, UT 84123
7181 S Campus View Dr
Ste 200
West Jordan, UT 84084
Phone (801) 965-3505
2965 W 3500 S
West Valley City, UT 84119
Phone (801) 965-3505
Organizations & group practices 8
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.
-
- Medical Specialty Clinic/Center
- Sandy, UT
- NPI 1871320028
-
- Multi-Specialty Clinic/Center
- West Jordan, UT
- NPI 1104857549
-
- Urgent Care Clinic/Center
- West Valley, UT
- NPI 1679675417
-
- Urgent Care Clinic/Center
- Draper, UT
- NPI 1992078349
-
- Multi-Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1497441539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1124750096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841193602",
"telephone_number": "801-965-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 RENAISSANCE TOWNE DR STE 370",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107675",
"telephone_number": "801-965-3600"
}
],
"practiceLocations": [
{
"address_1": "150 N Main St Ste 205",
"address_purpose": "LOCATION",
"city": "Heber City",
"state": "UT",
"postal_code": "840321671",
"country_code": "US",
"telephone_number": "801-965-3600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "MELANIE",
"middle_name": "MORRILL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-28",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "13050486-1206",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "13050486-1206",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.