Rebekah Mae Griffin, NP
Individual provider Active NPI Family Nurse Practitioner · Orem, UT
NPI 1437625548 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1437625548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9030602-4405 (UT)
- Practice address
- 575 S State St
Orem, UT 84058-6303 - Phone
- (801) 225-2926
- Fax
- (801) 229-2420
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Family Medical
Practice addresses (Care Compare)
680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190103001764 | UT | Practitioner - Nurse Practitioner | 1456697945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9030602-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Family Medical - Vineyard | Current |
Accepting new patients | |
| Premier Family Medical | Current | Accepting new patients |
Locations
680 E Main St
Lehi, UT 84043
Phone (801) 766-0606
275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333
830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511
62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427
707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9030602-4405 | UT | Yes |
Addresses
Primary practice location
575 S State St
Orem, UT 84058-6303
Mailing address
1055 N 500 W
Attn: Credentialing
Provo, UT 84604
Phone (801) 354-8225
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
Other providers in Orem, UT
- Hannah Marie Green
- Susanna Greenburg
- Benjamin Henry Greenfield
- Brittany Alyse Griffen
- Andrae Griffin
- Taylin Griffith
- Maria Rose Griffiths
- Lexi Griggs
- Madelyn Grossarth
- Ground to Sky Counseling PLLC
All providers in Orem, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.