Active NPI
Paul S Rosser, FNP
- Family Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 320175-4405
- Practice address
- 1055 N 500 W
Ste 100, BLDG B
Provo, UT 84604-3305 - Phone
- (801) 374-1268
- Fax
- (801) 812-5454
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 320175-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 320175-4405 | UT | Primary |
Addresses
Primary practice location
1055 N 500 W
Ste 100, BLDG B
Provo, UT 84604-3305
Mailing address
1055 N 500 W
Att Credentialing
Provo, UT 84604-3305
Phone (801) 354-8225
Other practice location 1
1200 Towne Centre Blvd Spc 1120
Provo, UT 84601-2934
Phone (385) 207-2211
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1055 N 500
Provo, UT 84604-3305
Phone (801) 374-1268
Hospital & facility affiliations
- Intermountain Health Utah Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Group LLC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients | |
| Granger Medical Specialists LLC | Past | Accepting new patients | |
| Riverwoods Urgent Care Center LC | Past | Accepting new patients |
Locations
1159 E 200 N
Ste 300
American Fork, UT 84003
Phone (801) 357-7530
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Ste 100
Provo, UT 84604
Phone (801) 374-1268
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111
Interoperability endpoints
- paulrosser@cuccu.allscriptsdirect.net
- https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Provo, UT
- NPI 1093764805
-
- Hospitalist Physician
- Murray, UT
- NPI 1629303169
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
-
- Clinic/Center
- West Valley City, UT
- NPI 1376159368
-
- Emergency Medicine Physician
- Provo, UT
- NPI 1801894035
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1760596175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 500 W",
"address_2": "ATT 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": "1055 N 500 W",
"address_2": "STE 100, BLDG B",
"city": "PROVO",
"state": "UT",
"postal_code": "846043305",
"telephone_number": "801-374-1268",
"fax_number": "801-812-5454"
}
],
"practiceLocations": [
{
"address_1": "1200 Towne Centre Blvd Spc 1120",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846012934",
"country_code": "US",
"telephone_number": "385-207-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSSER",
"first_name": "PAUL",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "UT",
"license": "320175-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "320175-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.