Individual provider Active NPI

Yvonne K Marley, PA C

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1477584415
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
34195 Issued in MT
Practice address
1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321
Phone
(801) 754-6051
Fax
(801) 210-0476
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3153 AZ
Physician Assistant 363A00000X 055-0031003 VT
Physician Assistant 363A00000X 34195 MT Primary
Physician Assistant 363A00000X 748 NH

Addresses

Primary practice location

1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321

Mailing address

1338 S Foothill Dr # 333
Salt Lake City, UT 84108-2321
Phone (801) 754-6051

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmarley7291309@direct.sanfordhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141103002012 MT Practitioner - Physician Assistant 3870578776
I20240525000040 HI Practitioner - Physician Assistant 3870578776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Hospital & facility affiliations

  • Kaiser Foundation Hospital Hospital, Honolulu, HI, CCN 120011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
748NHMDMental Health Counselor
3153AZMDDentist
0748NHMDOccupational Therapy Assistant
34195MTMDPhysician Assistant
055-0031003VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Belgrade Clinic PLLP Current Accepting new patients
HMC Medical Center, LLC Past Accepting new patients

Locations

1805 Oak St
Ste 3
Bozeman, MT 59715
Phone (406) 414-4890

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

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 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1477584415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 S FOOTHILL DR # 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082321",
            "telephone_number": "801-754-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 S FOOTHILL DR # 333",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082321",
            "telephone_number": "801-754-6051",
            "fax_number": "801-210-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLEY",
        "first_name": "YVONNE",
        "middle_name": "K",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3153",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "055-0031003",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "34195",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmarley7291309@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 Highland Blvd",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.