Individual provider Active NPI

Suzanne Michelle Matthes, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandy, UT
National Provider Identifier
1639934599
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4797043-4405 Issued in UT
Practice address
45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone
(801) 676-9452
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4797043-4405 UT Primary

Addresses

Primary practice location

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643

Mailing address

45 W Sego Lily Dr Ste 312
Sandy, UT 84070-3643
Phone (801) 676-9452

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
I20251105002685 UT Practitioner - Nurse Practitioner 8123518404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Wellness Group LLCGroup PAC ID 9335550631, 15 clinicians

Practice addresses (Care Compare)

45 W Sego Lily Dr
Suite 312
Sandy, UT 84070-3643
Phone (801) 676-9452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4797043-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Wellness Group LLC Psychiatric/Mental Health CurrentSince Oct 22, 2025 Accepting new patients

Locations

45 W Sego Lily Dr
Sandy, UT 84070
Phone (801) 563-9888

45 W Sego Lily Dr
Ste 312
Sandy, UT 84070
Phone (801) 676-9452

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1639934599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W SEGO LILY DR STE 312",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703643",
            "telephone_number": "801-676-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W SEGO LILY DR STE 312",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840703643",
            "telephone_number": "801-676-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHES",
        "first_name": "SUZANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "4797043-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.