Individual provider Active NPI

Cajin Rain Christianson Savage, PA-C

  • Physician Assistant
  • Eagle Mountain, UT
National Provider Identifier
1689295131
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13835827-1206 Issued in UT
Practice address
4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531
Phone
(801) 429-8037
Fax
(801) 753-7476
NPI assigned
May 6, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115972 FL
Physician Assistant 363A00000X 13835827-1206 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531

Mailing address

1055 N 500 W
Attn: Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225

Other practice location 1

1520 W Orange Blossom Trl
Apopka, FL 32712-2639
Phone (385) 207-9645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, UT, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210730002930 GA Practitioner - Physician Assistant 7113320995 Reassigns benefits to 1 organization
I20241104002296 UT Practitioner - Physician Assistant 7113320995 Reassigns benefits to 1 organization
I20260424000992 NC Practitioner - Physician Assistant 7113320995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

4095 E Pony Express Pkwy
Suite 1
Eagle Mountain, UT 84005-5531
Phone (801) 429-8037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Oct 24, 2024 Accepting new patients
Revere Health PC CurrentSince Feb 10, 2025 Accepting new patients
Family Medical Associates, LLC Current Accepting new patients
American Current Care P.a. CurrentSince Oct 24, 2024 Accepting new patients
Revere Health PC CurrentSince Feb 10, 2025 Accepting new patients

Locations

1631 Highway 20 W
McDonough, GA 30253
Phone (770) 288-2822

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

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

385 W 9000 S
Sandy, UT 84070
Phone (801) 562-5200

Interoperability endpoints

  • Direct secure messaging: cajinchristiansonsavage@cuccu.allscriptsdirect.net

Organizations & group practices 7

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": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1689295131",
    "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": "846043305",
            "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": "4095 E PONY EXPRESS PKWY STE 1",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055531",
            "telephone_number": "801-429-8037",
            "fax_number": "801-753-7476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 W Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327122639",
            "country_code": "US",
            "telephone_number": "385-207-9645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSON SAVAGE",
        "first_name": "CAJIN",
        "middle_name": "RAIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115972",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13835827-1206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

Verify at the official NPI Registry.