Active NPI
Nancy J Stevenson, PA-C
- Physician Assistant
- SLC, UT
National Provider Identifier
1215997655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 214067-1206
- Practice address
- 4000 S 700 E
Ste 10
SLC, UT 84107-2180 - Phone
- (801) 268-4141
- Fax
- (801) 261-8609
- NPI assigned
- Mar 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 214067-1206 | UT | Primary |
Addresses
Primary practice location
4000 S 700 E
Ste 10
SLC, UT 84107-2180
Mailing address
4000 S 700 E
Ste 10
SLC, UT 84107-2180
Phone (801) 268-4141
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214067-1206 | UT | MD | Physician Assistant |
Interoperability endpoints
- nstevenson@entslc.emadirect.md
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- SLC, UT
- NPI 1801857271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1215997655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 S 700 E",
"address_2": "STE 10",
"city": "SLC",
"state": "UT",
"postal_code": "841072180",
"telephone_number": "801-268-4141",
"fax_number": "801-261-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 S 700 E",
"address_2": "STE 10",
"city": "SLC",
"state": "UT",
"postal_code": "841072180",
"telephone_number": "801-268-4141",
"fax_number": "801-261-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "NANCY",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "214067-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.