NPIMap

Individual provider Active NPI

Samuel S May

  • Family Nurse Practitioner
  • Ogden, UT
National Provider Identifier
1689369159
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10507415-4405 Issued in UT
Practice address
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone
(801) 387-3850
NPI assigned
Apr 10, 2023
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 10507415-4405 UT Primary

Addresses

Primary practice location

4401 Harrison Blvd
Ogden, UT 84403-3195

Mailing address

PO Box 719
Brigham City, UT 84302-0719
Phone (801) 505-0821

Other practice location 1

600 W Hospital Rd
Brigham City, UT 84302-3006
Phone (435) 714-8690

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
I20231106003614 UT Practitioner - Nurse Practitioner 7315394780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians
Brigham Medical Clinic, Inc.Group PAC ID 8628000809, 5 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 3450
Ogden, UT 84403-3282
Phone (801) 387-3850

600 W Hospital Rd
Brigham City, UT 84302-3006
Phone (435) 734-2041

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 19, 2023 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince May 26, 2024 Accepting new patients
Ihc Health Services Inc Single Specialty CurrentSince Aug 19, 2023 Accepting new patients
Brigham Medical Clinic, Inc. Single Specialty CurrentSince Jan 3, 2025 Accepting new patients
Ihc Health Services Inc Single Specialty Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

600 W Hospital Rd
Brigham City, UT 84302
Phone (435) 734-2041

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1300 N 500 E
Ste 320
North Logan, UT 84341
Phone (435) 716-2200

4403 Harrison Blvd
Ste 3450
Ogden, UT 84403
Phone (801) 357-3850

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

Interoperability endpoints

  • Direct secure messaging: samuel.may@999388869427204.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1689369159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843020719",
            "telephone_number": "801-505-0821",
            "fax_number": "801-505-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033195",
            "telephone_number": "801-387-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023006",
            "country_code": "US",
            "telephone_number": "435-714-8690",
            "fax_number": "435-723-8028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAY",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "10507415-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.