Individual provider Active NPI

Stacey A Flint, NP AGACNP-BC

  • Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1427593722
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
191314-4405 Issued in UT
Practice address
425 E 5350 S Ste 400
Ogden, UT 84405-6932
Phone
(801) 479-0184
Fax
(801) 479-5642
NPI assigned
Dec 23, 2016
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 191314-4405 UT Primary

Addresses

Primary practice location

425 E 5350 S Ste 400
Ogden, UT 84405-6932

Mailing address

PO Box 741729
Atlanta, GA 30374-1729

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
I20181002001783 UT Practitioner - Nurse Practitioner 6103178199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountainstar Cardiology St Marks LLCGroup PAC ID 2961661855, 42 clinicians

Practice addresses (Care Compare)

425 E 5350
Suite 405
Ogden, UT 84405-6733
Phone (801) 479-7740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.44 of 100Reported as group
Quality
88.05
Promoting interoperability
98
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainstar Cardiology St Marks LLC CurrentSince Nov 13, 2023 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 25, 2018 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Jul 25, 2018 Accepting new patients
Mountainstar Cardiovascular Services LLC PastSince Nov 13, 2023 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

425 E 5350 S
Ste 400
Ogden, UT 84405
Phone (801) 476-0184

425 E 5350 S
Ste 405
Ogden, UT 84405
Phone (801) 476-6900

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1427593722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S STE 400",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056932",
            "telephone_number": "801-479-0184",
            "fax_number": "801-479-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "STACEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "191314-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.