NPIMap

Individual provider Active NPI

Grace Akiko Noda, PA-C

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1538357488
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6615551-1206 Issued in UT
Practice address
5323 S Woodrow St Ste 100
Murray, UT 84107-5842
Phone
(801) 713-0600
Fax
(813) 713-0601
NPI assigned
Oct 4, 2007
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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 6615551-1206 UT Primary

Addresses

Primary practice location

5323 S Woodrow St Ste 100
Murray, UT 84107-5842

Mailing address

5323 S Woodrow St Ste 100
Murray, UT 84107-5842
Phone (801) 713-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000263 UT Practitioner - Physician Assistant 3476642091 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Mountain Medical Physician Specialists PCGroup PAC ID 5294639407, 29 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

1982 W Pleasant Grove Blvd
Suite L
Pleasant Grove, UT 84062-3268
Phone (801) 563-0333

5323 S Woodrow St
Murray, UT 84107-5841
Phone (801) 713-0600

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6615551-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Surgical Services CurrentSince Jul 1, 2015 Accepting new patients
University of Utah Acuity Care Services CurrentSince Apr 5, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
Green River Radiology, P.C. CurrentSince Nov 25, 2025 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
Orthopaedic Spine Surgeons Past Accepting new patients
MMPS Murray Past Accepting new patients
University of Utah Orthopedic Consultants Past Accepting new patients
Central Utah Radiology, PC Past Accepting new patients
University Radiology Associates Body Imaging Past Accepting new patients

Locations

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1538357488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075842",
            "telephone_number": "801-713-0600",
            "fax_number": "801-713-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075842",
            "telephone_number": "801-713-0600",
            "fax_number": "813-713-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODA",
        "first_name": "GRACE",
        "middle_name": "AKIKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6615551-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.