Individual provider Active NPI

Melissa Anne Hutchison

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1407586654
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52718531206 Issued in UT
Practice address
495 E 4500 S Ste 200
Salt Lake City, UT 84107-2797
Phone
(801) 595-8844
Fax
(801) 506-0188
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52718531206 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

495 E 4500 S Ste 200
Salt Lake City, UT 84107-2797

Mailing address

495 E 4500 S Ste 200
Salt Lake City, UT 84107-2797
Phone (801) 595-8844

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410003917 UT Practitioner - Physician Assistant 8527406479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

495 E 4500
Suite 200
Salt Lake City, UT 84107-2797
Phone (801) 595-8844

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52718531206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salt Lake Pedia Center Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.hutchison.1@30414.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1407586654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072797",
            "telephone_number": "801-595-8844",
            "fax_number": "801-506-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E 4500 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072797",
            "telephone_number": "801-595-8844",
            "fax_number": "801-506-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "52718531206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.