Individual provider Active NPI

Angela Salveson, PA-C

  • Physician Assistant
  • Alpine, UT
National Provider Identifier
1588079347
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10376280-1206 Issued in UT
Practice address
155 W Canyon Crest Rd Ste 200
Alpine, UT 84004-1966
Phone
(801) 763-9851
Fax
(801) 763-9852
NPI assigned
Jun 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0553 ND
Physician Assistant 363A00000X 10376280-1206 UT Primary

Addresses

Primary practice location

155 W Canyon Crest Rd Ste 200
Alpine, UT 84004-1966

Mailing address

155 W Canyon Crest Rd Ste 200
Alpine, UT 84004-1966
Phone (801) 763-9851

Other names 1

  • Angela K Bachand Former name

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
I20170905003107 UT Practitioner - Physician Assistant 1355560210 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Health PC CurrentSince Aug 7, 2017 Accepting new patients
Revere Health PC CurrentSince Aug 7, 2017 Accepting new patients
Alpine Family Medicine LLC PastSince Oct 19, 2015 Accepting new patients

Locations

4095 E Pony Express Pkwy
Ste 1
Eagle Mountain, UT 84005
Phone (801) 429-8037

1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362

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

Organizations & group practices 3

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1588079347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W CANYON CREST RD STE 200",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041966",
            "telephone_number": "801-763-9851",
            "fax_number": "801-763-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W CANYON CREST RD STE 200",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041966",
            "telephone_number": "801-763-9851",
            "fax_number": "801-763-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALVESON",
        "first_name": "ANGELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0553",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10376280-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BACHAND",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpine, UT

Sources for this page

Verify at the official NPI Registry.