Individual provider Active NPI

Nancy W. Mortensen, A.P.R.N.

  • Nurse Practitioner
  • Provo, UT
National Provider Identifier
1841249380
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
220619-4405 Issued in UT
Practice address
1034 N 500 W
Provo, UT 84604-3380
Phone
(801) 357-8200
Fax
(801) 357-8201
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 220619-4405 UT Primary

Addresses

Primary practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

1121 E 3900 S
Suite C-240
Salt Lake City, UT 84124-1214
Phone (801) 266-0878

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
I20031210001178 UT Practitioner - Nurse Practitioner 3779489778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Utah School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians

Practice addresses (Care Compare)

395 W Bulldog Blvd
Suite 103
Provo, UT 84604
Phone (801) 357-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.89 of 100Reported as group
Quality
77.34
Promoting interoperability
90
Improvement activities
40
Cost
77.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cancer Specialists PC Nurse Practitioner CurrentSince Dec 1, 2003 Accepting new patients
Utah Cancer Specialists PC Nurse Practitioner PastSince Nov 30, 2025 Accepting new patients
Hospital Corporation of Utah Past Accepting new patients

Locations

48 N 1100 E
Ste B
American Fork, UT 84003
Phone (801) 492-9934

520 Medical Dr
Ste 340
Bountiful, UT 84010
Phone (801) 296-6665

520 Medical Dr
Ste 100
Bountiful, UT 84010
Phone (801) 296-6665

1492 W Antelope Dr
Ste 125
Layton, UT 84041
Phone (801) 525-3022

1076 N Northcounty Blvd
Ste D
Pleasant Grove, UT 84062
Phone (801) 492-9934

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

395 W Bulldog Blvd
Ste 103
Provo, UT 84604
Phone (801) 357-8200

395 W Cougar Blvd
Ste 104
Provo, UT 84604
Phone (801) 357-2480

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

5770 S 250 E
Ste 135
Salt Lake Cty, UT 84107
Phone (801) 263-3416

1121 E 3900 S
Ste C240
Salt Lake Cty, UT 84124

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

1244 N Main St
Ste 101
Tooele, UT 84074
Phone (435) 249-0007

3592 W 9000 S
Ste 200
West Jordan, UT 84088
Phone (801) 562-8732

4052 W Pioneer Pkwy
Ste 101
West Valley City, UT 84120
Phone (801) 967-1000

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1841249380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S",
            "address_2": "SUITE C-240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241214",
            "telephone_number": "801-266-0878",
            "fax_number": "801-266-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043380",
            "telephone_number": "801-357-8200",
            "fax_number": "801-357-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTENSEN",
        "first_name": "NANCY",
        "middle_name": "W.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "220619-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.