Active NPI
Ryan Mackay Austin, MSN, APRN, FNP-C
- Family Nurse Practitioner
- North Logan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11098002-4405
- Practice address
- 1515 N 400 E Ste 104
North Logan, UT 84341-7595 - Phone
- (435) 755-6061
- NPI assigned
- Aug 12, 2025
- Last updated
- Oct 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11098002-4405 | UT | Primary |
Addresses
Primary practice location
1515 N 400 E Ste 104
North Logan, UT 84341-7595
Mailing address
500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862
Other practice location 1
5 W 200 N
Brigham City, UT 84302-2109
Phone (435) 723-7999
Other practice location 2
517 W 100 N Ste 110
Providence, UT 84332-9826
Phone (435) 755-6075
Other practice location 3
325 W Logan Rd
Garden City, UT 84028-7754
Phone (435) 946-3660
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 S 11TH Ave
Suite 400
Pocatello, ID 83201-4880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11098002-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health West, Inc. | Family Medicine | Current | Accepting new patients |
| Health West, Inc. | Current | Accepting new patients | |
| Health West, Inc. | Current | Accepting new patients | |
| Health West, Inc. | Family Medicine | Past | Accepting new patients |
Locations
500 S 11th Ave
Ste 400
Pocatello, ID 83201
5 W 200 N
Brigham City, UT 84302
Phone (435) 723-6033
1515 N 400 E
Ste 104
North Logan, UT 84341
Phone (435) 755-8424
517 W 100 N
Ste 110
Providence, UT 84332
Phone (435) 755-6075
Interoperability endpoints
- ryan.austin.1@16258.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Health West Providence
- Federally Qualified Health Center (FQHC)
- Providence, UT
- NPI 1528774452
-
dba Health West North Logan
- Federally Qualified Health Center (FQHC)
- North Logan, UT
- NPI 1457067381
Family Medicine
-
dba Sryinga Elementary School
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1740143882
-
dba Health West American Falls Clinic
- Federally Qualified Health Center (FQHC)
- American Falls, ID
- NPI 1629077235
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1366328726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S 11TH AVE STE 400",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014880",
"telephone_number": "208-232-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N 400 E STE 104",
"city": "NORTH LOGAN",
"state": "UT",
"postal_code": "843417595",
"telephone_number": "435-755-6061"
}
],
"practiceLocations": [
{
"address_1": "5 W 200 N",
"address_purpose": "LOCATION",
"city": "Brigham City",
"state": "UT",
"postal_code": "843022109",
"country_code": "US",
"telephone_number": "435-723-7999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "517 W 100 N Ste 110",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "UT",
"postal_code": "843329826",
"country_code": "US",
"telephone_number": "435-755-6075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 W Logan Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "UT",
"postal_code": "840287754",
"country_code": "US",
"telephone_number": "435-946-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "RYAN",
"middle_name": "MACKAY",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-12",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11098002-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.