Individual provider Active NPI

Chelet Bleyl, PA-C

  • Physician Assistant
  • West Valley City, UT
National Provider Identifier
1821720046
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13589678-1206 Issued in UT
Practice address
2965 W 3500 S
West Valley City, UT 84119-3602
Phone
(801) 965-3600
Fax
(000) 000-0000
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13589678-1206 UT Primary

Addresses

Primary practice location

2965 W 3500 S
West Valley City, UT 84119-3602

Mailing address

2965 W 3500 S
West Valley City, UT 84119-3602
Phone (801) 965-3600

Other practice location 1

811 N 900 W
Orem, UT 84057-7701
Phone (801) 434-7600

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
I20240523003845 UT Practitioner - Physician Assistant 7618319468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Memorial ClinicGroup PAC ID 4284547985, 251 clinicians

Practice addresses (Care Compare)

2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840

5296 S Commerce Dr
Suite 104
Murray, UT 84107-5363
Phone (801) 773-4840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L Crump MD PC CurrentSince May 7, 2024 Accepting new patients
Tanner Memorial Clinic CurrentSince Apr 8, 2024 Accepting new patients
Tanner Memorial Clinic CurrentSince Apr 8, 2024 Accepting new patients
Comfort Care Pediatrics Inc. Past Accepting new patients
Tanner Memorial Clinic Past Accepting new patients

Locations

5296 S Commerce Dr
Ste 104
Murray, UT 84107
Phone (385) 474-8888

811 N 900 W
Orem, UT 84057
Phone (801) 434-7600

41 E 1140 N
Ste C
Saratoga Springs, UT 84045
Phone (801) 766-2121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3391/brand/1/csg/1/fhir/r4
  • Direct secure messaging: chalet.bleyl.p1@direct.tannerclinic.nextgenshare.com
  • Direct secure messaging: chelet.bleyl.1@30414.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1821720046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 W 3500 S",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841193602",
            "telephone_number": "801-965-3600",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 N 900 W",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840577701",
            "country_code": "US",
            "telephone_number": "801-434-7600",
            "fax_number": "866-381-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEYL",
        "first_name": "CHELET",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "13589678-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Valley City, UT

Sources for this page

Verify at the official NPI Registry.