Rachel Maria Hogan, FNP
Individual provider Active NPI Family Nurse Practitioner · Pleasant Grove, UT
NPI 1144917147 · NPPES record last updated Mar 29, 2024
Key facts
- NPI
- 1144917147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7345087-4405 (UT)
- Practice address
- 1176 E 260 S
Pleasant Grove, UT 84062-3262 - Phone
- (801) 358-2137
- NPI assigned
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Family Medical
Practice addresses (Care Compare)
707 E Mill Rd
Suite 303
Vineyard, UT 84059-5730
Phone (801) 224-1300
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 |
|---|---|---|---|---|
| I20240509000193 | UT | Practitioner - Nurse Practitioner | 6709227671 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7345087-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical | Current | Accepting new patients | |
| Premier Family Medical - Vineyard | Current |
Accepting new patients | |
| Premier Family Medical - City Center | Current |
Accepting new patients | |
| Premier Family Medical - Saratoga Springs | Past | Accepting new patients |
Locations
226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840
3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184
3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990
680 E Main St
Lehi, UT 84043
Phone (801) 766-0606
275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333
830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7345087-4405 | UT | Yes |
Addresses
Primary practice location
1176 E 260 S
Pleasant Grove, UT 84062-3262
Mailing address
1176 E 260 S
Pleasant Grove, UT 84062-3262
Phone (801) 358-2137
Other providers in Pleasant Grove, UT
- Daniel James Hilton
- Reggie Eli Hinck
- Madison Jo Hirschi
- Rachael Leigh Hobbs
- Teigan Hoffman
- Haddie R Holt
- Sarah Babcock Homer
- Jessica Hooks
- Ruth A Hooper
- Christine Horne
All providers in Pleasant Grove, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2024. 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.