Active NPI
Amelia S Maass, FNP
- Family Nurse Practitioner
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 326830-4405
- Practice address
- 8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366 - Phone
- (801) 569-1999
- Fax
- (801) 569-2001
- NPI assigned
- Jun 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 326830-4405 | UT | Primary |
Addresses
Primary practice location
8846 S Redwood Rd Ste E121
West Jordan, UT 84088-9366
Mailing address
PO Box 198560
Atlanta, GA 30384-8560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164672770 | Medicaid | UT |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8846 S Redwood Rd
121 Jordan Family Health
West Jordan, UT 84088-9334
Phone (801) 569-1999
Hospital & facility affiliations
- Lone Peak Hospital
- St Mark'S Hospital
- Holy Cross Hospital-Jordan Valley
- Intermountain Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 326830-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainstar Medical Group-St. Marks Hospital, LLC | Current | Accepting new patients | |
| Jordan Family Health, LLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
74 E Kimballs Ln
Ste 300
Draper, UT 84020
Phone (801) 572-0311
8846 S Redwood Rd
Ste E121
West Jordan, UT 84088
Phone (801) 268-4141
8846 S Redwood Rd
Ste E12
West Jordan, UT 84088
Phone (801) 266-2777
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.
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1073795258
-
- Family Medicine Physician
- West Jordan, UT
- NPI 1164672770
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606435200000",
"number": "1366488348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198560",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8846 S REDWOOD RD STE E121",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840889366",
"telephone_number": "801-569-1999",
"fax_number": "801-569-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAASS",
"first_name": "AMELIA",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2020-11-27",
"certification_date": "2020-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "326830-4405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164672770",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.