Individual provider Active NPI

Paul S Rosser, FNP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1760596175
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
320175-4405 Issued in UT
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

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000500 UT Practitioner - Nurse Practitioner 1658460191 Reassigns benefits to 2 organizations

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
Revere Health PCGroup PAC ID 7517868508, 407 clinicians

Practice addresses (Care Compare)

1055 N 500
Provo, UT 84604-3305
Phone (801) 374-1268

Hospital & facility affiliations

  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Revere Health PC CurrentSince Apr 28, 2025 Accepting new patients
Revere Health PC CurrentSince Apr 28, 2025 Accepting new patients
Granger Medical Specialists LLC Past Accepting new patients
Riverwoods Urgent Care Center LC PastSince Oct 6, 2003 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

  • Direct secure messaging: paulrosser@cuccu.allscriptsdirect.net
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.