Individual provider Active NPI

Christopher Michael Williams, FNP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1518402841
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6790017-4405 Issued in UT
Practice address
1055 N 500 W BLDG a
Provo, UT 84604-3305
Phone
(801) 812-5034
Fax
(801) 812-5034
NPI assigned
Dec 22, 2016
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6790017-4405 UT Primary

Addresses

Primary practice location

1055 N 500 W BLDG a
Provo, UT 84604-3305

Mailing address

1055 N. 500 W.
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225

Other practice location 1

12176 S 1000 E
Draper, UT 84020-9734
Phone (801) 572-3750

Other practice location 2

226 N 1100 E
American Fork, UT 84003-2054
Phone (801) 335-6250

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
I20170116000692 UT Practitioner - Nurse Practitioner 6204118839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 812-5033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6790017-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC Family Medicine CurrentSince Oct 13, 2024 Accepting new patients
Revere Health PC CurrentSince Jul 14, 2025 Accepting new patients
Revere Health PC CurrentSince Jul 14, 2025 Accepting new patients
Riverton Family Health Center LLC Family Medicine PastSince Sep 10, 2021 Accepting new patients

Locations

12176 S 1000 E
Draper, UT 84020
Phone (801) 523-3023

12176 S 1000 E
Ste 4
Draper, UT 84020
Phone (801) 572-3750

3943 E Pony Express Pkwy
Eagle Mountain, UT 84005
Phone (801) 374-8999

1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000

1055 N 500 W
Bldg A
Provo, UT 84604
Phone (801) 418-0800

264 W 100 S
Santaquin, UT 84655
Phone (385) 203-1250

1930 W Sunset Blvd
Ste 94
St George, UT 84770
Phone (435) 375-0140

Interoperability endpoints

  • Direct secure messaging: christopherwilliams@cuccu.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGFBAA

Organizations & group practices 5

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1518402841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N. 500 W.",
            "address_2": "ATTN CREDENTIALING",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84604",
            "telephone_number": "801-354-8225",
            "fax_number": "801-418-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 500 W BLDG A",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043305",
            "telephone_number": "801-812-5034",
            "fax_number": "801-812-5034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12176 S 1000 E",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840209734",
            "country_code": "US",
            "telephone_number": "801-572-3750",
            "fax_number": "801-572-1097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 N 1100 E",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032054",
            "country_code": "US",
            "telephone_number": "801-335-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6790017-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.