Organization Active NPI

Elevated Health Moab LLC

  • Family Medicine Physician
  • Moab, UT
National Provider Identifier
1184575102
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELEVATED HEALTH MOAB LLC
Practice address
301 S 400 E Ste 104
Moab, UT 84532-2653
Phone
(435) 260-8024
NPI assigned
Feb 5, 2026
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
Angela Alexander, MDNPI 1093957714
Title
Physician Owner
Phone
(435) 260-8024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

301 S 400 E Ste 104
Moab, UT 84532-2653

Mailing address

301 S 400 E Ste 104
Moab, UT 84532-2653
Phone (443) 526-0802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260413001929 UT Part B Supplier - Clinic/Group Practice 7416422910 Receives reassigned benefits from 1 practitioner
Practice locations: Moab, UT

National Provider Directory

National Provider Directory

Locations

301 S 400 E
Ste 104
Moab, UT 84532
Phone (435) 260-8024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1184575102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 400 E STE 104",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322653",
            "telephone_number": "443-526-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 400 E STE 104",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322653",
            "telephone_number": "435-260-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH MOAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "435-260-8024",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.