Active NPI
Paige Shelton, NP
- Nurse Practitioner
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 376728-4405
- Practice address
- 4403 Harrison Blvd Ste 1815
Ogden, UT 84403-3339 - Phone
- (801) 732-5900
- Fax
- (801) 732-5988
- NPI assigned
- Jul 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3767283102 | UT | |
| Nurse Practitioner | 363L00000X | 376728-4405 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd Ste 1815
Ogden, UT 84403-3339
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500
Other practice location 1
1638 N 2850 E
Layton, UT 84040-7709
Phone (801) 941-6360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3767283102 | Other | UT | RN |
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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4403 Harrison Blvd
Suite 1815
Ogden, UT 84403-3339
Phone (801) 732-5900
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
- Ogden Regional Medical Center
- Intermountain Health Layton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3767283102 | UT | MD | Registered Nurse |
| 376728-4405 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients | |
| Ogden Clinic PC | Family Medicine | Current | Accepting new patients |
Locations
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
4403 Harrison Blvd
Ste 1815
Ogden, UT 84403
Phone (801) 387-6520
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
4403 Harrison Blvd
Ste 1875
South Ogden, UT 84403
Phone (801) 387-2090
4700 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-3300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
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.
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Layton, UT
- NPI 1417460205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1245614866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD STE 1815",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033339",
"telephone_number": "801-732-5900",
"fax_number": "801-732-5988"
}
],
"practiceLocations": [
{
"address_1": "1638 N 2850 E",
"address_purpose": "LOCATION",
"city": "Layton",
"state": "UT",
"postal_code": "840407709",
"country_code": "US",
"telephone_number": "801-941-6360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELTON",
"first_name": "PAIGE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "3767283102",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "376728-4405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "3767283102",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.