Marci T Hidalgo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6665154-4405 Issued in UT

Practice address

600 W Hospital Rd
Brigham City, UT 84302-3006

Phone

(435) 734-2041

Fax

(435) 723-8028

NPI assigned

Oct 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miller Medical IncGroup PAC ID 9931632528, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Miller Medical Inc

  • Family Medicine Physician
  • Tremonton, UT
  • NPI 1871240580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1326680265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W 460 S",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843376745",
            "telephone_number": "435-452-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W HOSPITAL RD",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843023006",
            "telephone_number": "435-734-2041",
            "fax_number": "435-723-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 W 460 S",
            "address_purpose": "LOCATION",
            "city": "Tremonton",
            "state": "UT",
            "postal_code": "843376745",
            "country_code": "US",
            "telephone_number": "435-452-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "MARCI",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6665154-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6665154-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aide Hernandez
• Manuel Hernandez
• Brian D Hess, P.A.-C
• David G Hess, MD
• Amy Heyder, PHARMD
• Ronald Raymond Hill
• Todd Hinds
• Michael Voss Hoffman, MD
• Stephen James Hoffman, LCSW
• Simon Hogue

• Family Nurse Practitioner in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.

Verify at the official NPI Registry.