Clinton Sherrill Anderson, PA-C
Individual provider Active NPI Physician Assistant · Provo, UT
NPI 1821592890 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1821592890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5951888-1206 (UT)
- Practice address
- 1157 N 300 W
Provo, UT 84604-6124 - Phone
- (801) 357-1200
- NPI assigned
- Mar 22, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
The Orthopedic Clinic LC
Practice addresses (Care Compare)
1034 N 500
Provo, UT 84604-3380
Phone (801) 357-8879
1157 N 300
Provo, UT 84604-6124
11762 S State St
Suite 160
Draper, UT 84020-7174
Phone (801) 314-4195
5848 S Fashion Blvd
Suite 110
Salt Lake City, UT 84107-6175
Phone (801) 314-4188
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
819 E Market Place Dr
Spanish Fork, UT 84660-5669
Phone (385) 344-6770
Hospital & facility affiliations
- Intermountain Health Spanish Fork Hospital
- Intermountain Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180604003063 | UT | Practitioner - Physician Assistant | 7113282609 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5951888-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1157 N 300 W
Ste 201
Provo, UT 84604
Phone (801) 357-1200
1157 N 300 W
Provo, UT 84604
Phone (801) 357-1200
5848 S Fashion Blvd
Ste 110
Salt Lake Cty, UT 84107
Phone (801) 314-4188
1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479
Interoperability endpoints
- clinton.anderson.1@28271.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5951888-1206 | UT | |
| Physician Assistant | 363A00000X | 5951888-1206 | UT | Yes |
Addresses
Primary practice location
1157 N 300 W
Provo, UT 84604-6124
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguest_Service | Other | Bluemark LLC / Office Ally |
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.