Individual provider Active NPI

Mathew Madariaga

  • Nurse Practitioner
  • Richfield, UT
National Provider Identifier
1447093745
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11301150-4405 Issued in UT
Practice address
1032 N Plaza Dr
Richfield, UT 84701-1862
Phone
(435) 201-2772
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 11301150-4405 UT Primary

Addresses

Primary practice location

1032 N Plaza Dr
Richfield, UT 84701-1862

Mailing address

1032 N Plaza Dr
Richfield, UT 84701-1862
Phone (352) 012-7724

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
I20251219003061 UT Practitioner - Nurse Practitioner 4486149127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3401 N Thanksgiving Way
Suite 190
Lehi, UT 84048-4157

Hospital & facility affiliations

  • Castleview Hospital Hospital, Price, UT, CCN 460011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11301150-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gadzoom Health LLC CurrentSince Nov 13, 2025 Accepting new patients

Locations

3401 N Thanksgiving Way
Ste 190
Lehi, UT 84048
Phone (385) 454-5027

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.

Hospital & facility affiliations 1

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1447093745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 N PLAZA DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011862",
            "telephone_number": "352-012-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 N PLAZA DR",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847011862",
            "telephone_number": "435-201-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARIAGA",
        "first_name": "MATHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11301150-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.