Individual provider Active NPI

Tanya Bidstrup Przybyla, PA-C

  • Physician Assistant
  • American Fork, UT
National Provider Identifier
1467861849
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
226 N 1100 E
American Fork, UT 84003-2054
Phone
(801) 855-3841
Fax
(801) 855-3847
NPI assigned
Aug 11, 2014
Last updated
Jul 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

226 N 1100 E
American Fork, UT 84003-2054

Mailing address

226 N 1100 E
American Fork, UT 84003-2054
Phone (801) 855-3841

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
I20140930001989 UT Practitioner - Physician Assistant 7214157072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

3943 E Pony Express Pkwy
Suite 120
Eagle Mountain, UT 84005-5543
Phone (801) 443-1184

680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - City Center CurrentSince Feb 1, 2023 Accepting new patients
Premier Family Medical Past Accepting new patients

Locations

226 N 1100 E
American Fork, UT 84003
Phone (801) 756-6037

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

4317 N Pony Express Pkwy
Ste 150
Eagle Mountain, UT 84005
Phone (801) 788-4779

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1467861849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3841",
            "fax_number": "801-855-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLA",
        "first_name": "TANYA",
        "middle_name": "BIDSTRUP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.