Individual provider Active NPI

Sierra Nicole Wimer, PA

  • Physician Assistant
  • Ogden, UT
National Provider Identifier
1487532370
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1497 E Skyline Dr
Ogden, UT 84405-4837
Phone
(850) 619-3245
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

1497 E Skyline Dr
Ogden, UT 84405-4837

Mailing address

32 Trewin Cir
St Augustine, FL 32092-3377
Phone (850) 619-3245

Other practice location 1

3430 Harrison Blvd
Ogden, UT 84403-1231
Phone (850) 619-3245

Other practice location 2

400 E 5350 S
Ogden, UT 84405-6931
Phone (850) 619-3245

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
I20251024003141 UT Practitioner - Physician Assistant 0446748669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

2750 N Digital Dr
Lehi, UT 84043-6651
Phone (801) 215-9309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2750 N Digital Dr
Lehi, UT 84043
Phone (385) 374-5600

1201 E 4500 S
Millcreek, UT 84117
Phone (801) 261-3664

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

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.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1487532370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TREWIN CIR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923377",
            "telephone_number": "850-619-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 E SKYLINE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054837",
            "telephone_number": "850-619-3245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Harrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844031231",
            "country_code": "US",
            "telephone_number": "850-619-3245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 5350 S",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844056931",
            "country_code": "US",
            "telephone_number": "850-619-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMER",
        "first_name": "SIERRA",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.