Individual provider Active NPI

Sheila R Mioni, APRN

  • Gerontology Nurse Practitioner
  • Draper, UT
National Provider Identifier
1619639242
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
65077984405 Issued in UT
Practice address
11857 S Aztec Rd
Draper, UT 84020-6804
Phone
(801) 664-6838
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 65077984405 UT Primary

Addresses

Primary practice location

11857 S Aztec Rd
Draper, UT 84020-6804

Mailing address

11857 S Aztec Rd
Draper, UT 84020-6804
Phone (801) 664-6838

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
I20211214001837 UT Practitioner - Nurse Practitioner 0648660209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

Practice addresses (Care Compare)

3419 W 12600
Riverton, UT 84065-7265
Phone (801) 693-3900

Merit-based Incentive Payment System (MIPS)

Final score
61.24 of 100Reported as group
Quality
58.16
Promoting interoperability
0
Improvement activities
40
Cost
62.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65077984405UTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health LLC CurrentSince Aug 23, 2022 Accepting new patients

Locations

1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300

55 S Professional Way
Payson, UT 84651
Phone (801) 465-9211

3419 W 12600 S
Riverton, UT 84065
Phone (801) 446-8400

85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000

4090 W Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 397-4400

598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310

598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410

598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1619639242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11857 S AZTEC RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206804",
            "telephone_number": "801-664-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11857 S AZTEC RD",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206804",
            "telephone_number": "801-664-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIONI",
        "first_name": "SHEILA",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "65077984405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.