Individual provider Active NPI

Trisha Pauline Ermatinger, FNP

  • Family Nurse Practitioner
  • West Valley City, UT
National Provider Identifier
1740998947
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11082693-4405 Issued in UT
Practice address
5557 W 4100 S
West Valley City, UT 84120-4629
Phone
(801) 966-1118
NPI assigned
Nov 8, 2022
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11082693-4405 UT Primary

Addresses

Primary practice location

5557 W 4100 S
West Valley City, UT 84120-4629

Mailing address

1474 N 285 E
Layton, UT 84041-2959
Phone (231) 414-0196

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL trishaermatinger@gmail.com Direct

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
I20230518001985 UT Practitioner - Nurse Practitioner 6709242670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

348 E 4500
Suite 220
Murray, UT 84107-8524
Phone (801) 577-7055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11082693-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Option Care Infusion Suites, LLC CurrentSince Dec 20, 2024 Accepting new patients
Option Care Infusion Suites, LLC CurrentSince Dec 20, 2024 Accepting new patients
Option Care Infusion Suites, LLC Past Accepting new patients

Locations

1112 E 300 N
Ste 202
American Fork, UT 84003
Phone (801) 557-7055

2132 N Robins Dr
Ste 210
Layton, UT 84041

348 E 4500 S
Ste 220
Salt Lake Cty, UT 84107
Phone (801) 557-7055

295 S 1470 E
Ste 101
St George, UT 84790
Phone 80157770551961

2376 N 400 E
Ste 201
Tooele, UT 84074
Phone (801) 557-7055

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1740998947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 N 285 E",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840412959",
            "telephone_number": "231-414-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 W 4100 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204629",
            "telephone_number": "801-966-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMATINGER",
        "first_name": "TRISHA",
        "middle_name": "PAULINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "11082693-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trishaermatinger@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5557 W 4100 S",
            "city": "West Valley City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841204629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.