Active NPI
Andrew Kenneth Ence, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 12699267-1205
- Practice address
- 2825 E Mall Dr
St George, UT 84790-1954 - Phone
- (435) 628-9393
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MMD.39395 LL | SC | |
| Orthopaedic Surgery Physician | 207X00000X | 0116034959 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 12699267-1205 | UT | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 12699267-1205 | UT | Primary |
Addresses
Primary practice location
2825 E Mall Dr
St George, UT 84790-1954
Mailing address
1055 N 500 W
Attn Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Other practice location 1
1930 W Sunset Blvd
St George, UT 84770-6587
Phone (435) 628-9393
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://uvahealth.com/locations/profile/hand-center | ||
| Direct Messaging Address | medreview@reverehealth.com | Central Utah Clinic, P.C. |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- University of Texas Medical School at San Antonio, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 E Mall Dr
St George, UT 84790-1954
Phone (435) 673-6131
Hospital & facility affiliations
- St. George Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 54 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MMD.39395 LL | SC | MD | Orthopaedic Surgery Physician |
| 0116034959 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
1930 W Sunset Blvd
Ste 94
St George, UT 84770
Phone (435) 375-0140
2825 E Mall Dr
St George, UT 84790
Phone (435) 673-6131
Networks
- UT PPO D-SNP
- UT PPO
Interoperability endpoints
- andrewence@cuccu.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1093764805
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1184072902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATTN CREDENTIALING",
"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": "2825 E MALL DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847901954",
"telephone_number": "435-628-9393"
}
],
"practiceLocations": [
{
"address_1": "1930 W Sunset Blvd",
"address_purpose": "LOCATION",
"city": "St George",
"state": "UT",
"postal_code": "847706587",
"country_code": "US",
"telephone_number": "435-628-9393",
"fax_number": "435-628-9382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENCE",
"first_name": "ANDREW",
"middle_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "MMD.39395 LL",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0116034959",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "12699267-1205",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "UT",
"license": "12699267-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://uvahealth.com/locations/profile/hand-center",
"affiliation": "N",
"address_1": "415 Ray C Hunt Dr",
"city": "Charlottesville",
"state": "VA",
"country_code": "US",
"postal_code": "229032980",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Central Utah Clinic, P.C.",
"address_1": "2825 E Mall Dr",
"city": "St George",
"state": "UT",
"country_code": "US",
"postal_code": "847901954",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.