Active NPI
Vanessa Eileen Beard-Ely, PA
- Physician Assistant
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9060898-1206
- Practice address
- 5171 S Cottonwood St Ste 810
Murray, UT 84107-5705 - Phone
- (801) 507-9800
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10000690A | IN | |
| Physician Assistant | 363A00000X | 9060898-1206 | UT | Primary |
Addresses
Primary practice location
5171 S Cottonwood St Ste 810
Murray, UT 84107-5705
Mailing address
PO Box 27128
Attn: Credentialing
Salt Lake City, UT 84127-0128
Other practice location 1
96 E Kimballs Ln
Ste 307
Draper, UT 84020-5020
Phone (801) 260-3286
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140818000973 | UT | Practitioner - Physician Assistant | 5597732602 | 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
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5171 S Cottonwood St
Suite 810
Murray, UT 84107-5705
Phone (801) 507-9800
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Valeo Home Health
- Intermountain Health Utah Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9060898-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
96 E Kimballs Ln
Ste 307
Draper, UT 84020
Phone (801) 260-3286
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
5171 S Cottonwood St
Ste 810
Salt Lake City, UT 84107
Phone (801) 507-9800
5770 S 250 E
Ste 135
Salt Lake Cty, UT 84107
Phone (801) 263-3416
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
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 and National Provider Directory roles.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Orem, UT
- NPI 1760516629
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1093764805
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Murray, UT
- NPI 1922006493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1730140484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"address_2": "ATTN: CREDENTIALING",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 S COTTONWOOD ST STE 810",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075705",
"telephone_number": "801-507-9800"
}
],
"practiceLocations": [
{
"address_1": "96 E Kimballs Ln",
"address_2": "Ste 307",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840205020",
"country_code": "US",
"telephone_number": "801-260-3286",
"fax_number": "801-260-3285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEARD-ELY",
"first_name": "VANESSA",
"middle_name": "EILEEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10000690A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "9060898-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Revere Health PC",
"address_1": "96 E Kimballs Ln",
"address_2": "Ste 307",
"city": "Draper",
"state": "UT",
"country_code": "US",
"postal_code": "840205020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.