Active NPI
Nancy W. Mortensen, A.P.R.N.
- Nurse Practitioner
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 220619-4405
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Cancer Specialists PC | Nurse Practitioner | Current | Accepting new patients |
| Utah Cancer Specialists PC | Nurse Practitioner | Past | 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.
-
dba Utah Cancer Specialists
- Medical Oncology Physician
- Salt Lake City, UT
- NPI 1619925369
Nurse Practitioner
-
dba Lakeview Hospital
- Psychiatric Hospital Unit
- Bountiful, UT
- NPI 1497709471
-
dba Utah Cancer Specialists
- Non-Pharmacy Dispensing Site
- Salt Lake City, UT
- NPI 1912058942
Nurse Practitioner
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- Spanish Fork, UT
- NPI 1679426944
Hospital
-
dba Intermountain Health Orem Community Hospital
- General Acute Care Hospital
- Orem, UT
- NPI 1801903240
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
-
dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital
- Infusion Therapy Clinic/Center
- American Fork, UT
- NPI 1982557252
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.