Individual provider Active NPI

Lexi Russell, PA-C

  • Physician Assistant
  • American Fork, UT
National Provider Identifier
1225601529
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
476 N 900 W Ste C
American Fork, UT 84003-5202
Phone
(801) 492-1611
Fax
(801) 492-1480
NPI assigned
Jul 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13023102-1206 UT
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

476 N 900 W Ste C
American Fork, UT 84003-5202

Mailing address

10433 S Redwood Rd Ste 2
South Jordan, UT 84095-8502
Phone (801) 260-1919

Other practice location 1

1126 E 12300 S
Draper, UT 84020-9095
Phone (801) 545-0600

Other practice location 2

4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531
Phone (801) 429-8037

Other names 1

  • Lexi Racquel Topham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221102003321 UT Practitioner - Physician Assistant 3072980101 Reassigns benefits to 2 organizations
I20221130003585 NV Practitioner - Physician Assistant 3072980101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
After Hours Medical LLCGroup PAC ID 8123926904, 30 clinicians
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

10433 S Redwood Rd
South Jordan, UT 84095-8502
Phone (801) 501-0500

1126 E Draper Pkwy
Draper, UT 84020-9095
Phone (801) 545-0600

3451 S 5600
Suite F
Salt Lake City, UT 84120-1301
Phone (801) 957-0900

4095 E Pony Express Pkwy
Suite 1
Eagle Mountain, UT 84005-5531
Phone (801) 429-8037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Jan 5, 2026 Accepting new patients
After Hours Medical LLC, Dba Medallus Medical CurrentSince Sep 7, 2022 Accepting new patients
Revere Health PC CurrentSince Jan 5, 2026 Accepting new patients

Locations

476 N 900 W
Ste C
American Fork, UT 84003
Phone (801) 492-1611

1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600

4095 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005
Phone (801) 429-8037

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

10433 S Redwood Rd
#2
South Jordan, UT 84095
Phone (801) 260-1919

10433 S Redwood Rd
South Jordan, UT 84095
Phone (801) 260-1919

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1225601529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD STE 2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 N 900 W STE C",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840035202",
            "telephone_number": "801-492-1611",
            "fax_number": "801-492-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 E 12300 S",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209095",
            "country_code": "US",
            "telephone_number": "801-545-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4095 E Pony Express Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055531",
            "country_code": "US",
            "telephone_number": "801-429-8037",
            "fax_number": "801-753-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LEXI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13023102-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEXI",
            "last_name": "TOPHAM",
            "middle_name": "RACQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.