NPIMap

Individual provider Active NPI

Benjamin H Reece, PA

  • Physician Assistant
  • Roosevelt, UT
National Provider Identifier
1336740505
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7127124-1206 Issued in UT
Practice address
250 W 300 N
Roosevelt, UT 84066-2351
Phone
(435) 722-6163
Fax
(435) 722-9291
NPI assigned
Nov 4, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uintah Basin Medical Center 62 clinicians

Practice addresses (Care Compare)

210 W 300
Roosevelt, UT 84066-2336

250 W 300
Roosevelt, UT 84066-2336
Phone (435) 722-4691

Hospital & facility affiliations

  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019

Merit-based Incentive Payment System (MIPS)

Final score
89.32 of 100Reported as apm
Quality
71.89
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505002647 UT Practitioner - Physician Assistant 8921417585 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006639COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uintah Basin Medical Center CurrentSince May 15, 2022 Accepting new patients
Northeastern Utah Medical Group Family Medicine CurrentSince May 15, 2022 Accepting new patients
Uintah Basin Medical Center CurrentSince May 15, 2022 Accepting new patients
Mountain Radiology, Inc PastSince May 1, 2021 Accepting new patients

Locations

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

250 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
Ste 75
Roosevelt, UT 84066

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

210 W 300 N
Ste 101
Roosevelt, UT 84066

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0006639 CO
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 7127124-1206 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

250 W 300 N
Roosevelt, UT 84066-2351

Mailing address

250 W 300 N
Roosevelt, UT 84066-2351
Phone (435) 725-7448

Other practice location 1

421 Adams St
Naturita, CO 81422-5018
Phone (970) 865-2665

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address benjamin.reece.1@22466directathenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1336740505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 300 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662351",
            "telephone_number": "435-725-7448",
            "fax_number": "435-722-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 300 N",
            "city": "ROOSEVELT",
            "state": "UT",
            "postal_code": "840662351",
            "telephone_number": "435-722-6163",
            "fax_number": "435-722-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Adams St",
            "address_purpose": "LOCATION",
            "city": "Naturita",
            "state": "CO",
            "postal_code": "814225018",
            "country_code": "US",
            "telephone_number": "970-865-2665",
            "fax_number": "970-865-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REECE",
        "first_name": "BENJAMIN",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006639",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "7127124-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.reece.1@22466directathenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena EMR",
            "address_1": "421 Adams St",
            "city": "Naturita",
            "state": "CO",
            "country_code": "US",
            "postal_code": "814225018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roosevelt, UT

Sources for this page

Verify at the official NPI Registry.