Acuity Wound Care
Organization Active NPI Nurse Practitioner · Spanish Fork, UT
NPI 1275350464 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1275350464
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- ACUITY WOUND CARE
- Practice address
- 1460 N Main St Unit 1B
Spanish Fork, UT 84660-1016 - Phone
- (385) 518-0403
- Fax
- (385) 518-0466
- NPI assigned
- Sep 20, 2024
- Organization subpart
- No
Authorized official
- Name
- Austin Atkinson
- Title
- President, Ceo
- Phone
- (801) 318-8930
Practitioners 11
-
Trent Kenworthy, FNP-C
-
Dawn Ranae Quada, DNP, APRN, FNP-C
-
Becky O Asare, APRN
-
Rhonda Gary Jackson, ARNP
-
Beatriz Perez, ARPN
-
Jodi Lyn Putnam, FNP-C
-
Deborah Jean Dugan, FNP
-
Janiece Rivers, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in UT, NV, ID, AZ, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241112000141 | UT | Part B Supplier - Clinic/Group Practice | 4688108814 |
Receives reassigned benefits from 4 practitioners Practice locations: Roosevelt, UT; Washington, UT; Spanish Fork, UT; Lindon, UT; Fountain Green, UT |
| O20250117003373 | NV | Part B Supplier - Clinic/Group Practice | 4688108814 |
Receives reassigned benefits from 3 practitioners Practice locations: Las Vegas, NV |
| O20250603002668 | ID | Part B Supplier - Clinic/Group Practice | 4688108814 |
Receives reassigned benefits from 1 practitioner Practice locations: Blackfoot, ID |
| O20250610002940 | AZ | Part B Supplier - Clinic/Group Practice | 4688108814 |
Receives reassigned benefits from 4 practitioners Practice locations: Glendale, AZ; Gilbert, AZ |
| O20250612004029 | FL | Part B Supplier - Clinic/Group Practice | 4688108814 |
Receives reassigned benefits from 3 practitioners Practice locations: Tampa, FL; The Villages, FL; Groveland, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse |
163WW0000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Nurse Practitioner |
363L00000X | Yes | ||
| Adult Health Nurse Practitioner |
363LA2200X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1460 N Main St Unit 1B
Spanish Fork, UT 84660-1016
Mailing address
1460 N Main St Unit 1B
Spanish Fork, UT 84660-1016
Phone (385) 518-0403
Other providers in Spanish Fork, UT
- Aaron D Cloward
- Jill Abbott
- Maicy Abplanalp
- Active Life Chiropractic Health Center PC
- Mandy Lynn Adams
- Adept Motion
- Advanced Wound Care, LLC
- Tyson Charles Albertson
- Kathy Alexander
All providers in Spanish Fork, UT · Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.