Active NPI
Ellie Zurbuchen
- Family Medicine Physician
- Park City, UT
National Provider Identifier
1386141737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14077614-1205
- Practice address
- 2720 Homestead Rd Ste 100
Park City, UT 84098-4882 - Phone
- (435) 940-9400
- NPI assigned
- Apr 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Family Medicine Physician | 207Q00000X | 14077614-1205 | UT | Primary |
Addresses
Primary practice location
2720 Homestead Rd Ste 100
Park City, UT 84098-4882
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
1250 E 3900 S Ste 260
Salt Lake City, UT 84124-1371
Phone (801) 265-2000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://teams.microsoft.com/l/message/48:notes/1769783527119?context=%7B%22contextType%22%3A%22chat%22%2C%22oid%22%3A%228%3Aorgid%3A7ce9d085-730e-4f72-8f6d-b9b1d66b70a2%22%7D | Other | Bluemark LLC / Office Ally |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230913001824 | UT | Order and Referring Only - Family Practice | 5496119133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Healthcare Institute Inc | Family Medicine | Current | Accepting new patients |
Locations
1250 E 3900 S
Ste 260
Slc, UT 84124
Phone (801) 265-2000
Interoperability endpoints
- ezurbuchen@1208.direct.myezyaccess.com
Organizations & group practices 1
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 1376597344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1386141737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 HOMESTEAD RD STE 100",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840984882",
"telephone_number": "435-940-9400"
}
],
"practiceLocations": [
{
"address_1": "1250 E 3900 S Ste 260",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841241371",
"country_code": "US",
"telephone_number": "801-265-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZURBUCHEN",
"first_name": "ELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "14077614-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://teams.microsoft.com/l/message/48:notes/1769783527119?context=%7B%22contextType%22%3A%22chat%22%2C%22oid%22%3A%228%3Aorgid%3A7ce9d085-730e-4f72-8f6d-b9b1d66b70a2%22%7D",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Park City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.