Justin James Archibald, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

332735-1206 Issued in UT

Practice address

1000 N Main St Ste a
Richfield, UT 84701-2069

Phone

(435) 893-0580

NPI assigned

Oct 12, 2016

Last updated

Apr 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Wayne Community Health Centers, Inc.Group PAC ID 1254242233, 13 clinicians

Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Sevier Valley Hospital Hospital, Richfield, UT, CCN 460026
• Gunnison Valley Hospital Hospital, Gunnison, UT, CCN 461306
• Intermountain Health Fillmore Community Hospital Hospital, Fillmore, UT, CCN 461301

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/CDFCAD
• Direct secure messaging: justin.archibald2@ssapcsl-ut.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Spine and Pain Care Specialists, LLC

  dba Physician Laboratory Services

  • Pain Medicine (Anesthesiology) Physician
  • St George, UT
  • NPI 1144509985
  Medicare reassignment Care Compare group NPD
• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Bicknell, UT
  • NPI 1093816282
  Medicare reassignment Care Compare group NPD (past)
• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  Medicare reassignment
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment
• Ihc Health Services Inc

  dba North Cache Valley InstaCare

  • Emergency Medicine Physician
  • Hyde Park, UT
  • NPI 1407291974
  NPD
• Ihc Health Services Inc

  dba Primary Children's Hospital Dental

  • Dentist
  • Salt Lake City, UT
  • NPI 1568845048
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Southwest Spine and Pain Care Specialists, LLC

  dba Vista Spine Sports and Injury Center

  • Chiropractor
  • St George, UT
  • NPI 1871263178
  NPD
• Wayne Community Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Hanksville, UT
  • NPI 1093863342
  NPD
• Wayne Community Health Centers, Inc

  dba Salina Family Medicine Clinic

  • Federally Qualified Health Center (FQHC)
  • Salina, UT
  • NPI 1659979193
  NPD
• Southwest Spine and Pain Care Specialists, LLC

  dba Physicians Laboratory Services

  • Clinical Medical Laboratory
  • St George, UT
  • NPI 1003441858
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gunnison Valley Hospital

  • Critical Access Hospital
  • Gunnison, UT
  • NPI 1952463036
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Fillmore Community Hospital

  • Critical Access Hospital
  • Fillmore, UT
  • NPI 1154438596
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Sevier Valley Hospital

  • General Acute Care Hospital
  • Richfield, UT
  • NPI 1336256775
  Care Compare affiliation

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1841740958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST STE A",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012069",
            "telephone_number": "435-893-0580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 N Main St Ste B",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847011840",
            "country_code": "US",
            "telephone_number": "435-986-7156",
            "fax_number": "435-986-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "JUSTIN",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "332735-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "332735-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alpine Home Medical Equipment LLC
• Coreen Anderson, R.N.
• Ryan K Anderson, AU.D.
• Tracey Lynn Anderson
• Apex Foot and Ankle Institute
• Sierra Jade Cole Arrant
• Ascent ABA, LLC
• John N. Bagley, LCSW
• Annalisa Bailey, RD,CD
• Stephanie Baker, R.N.

• Medical Physician Assistant in Richfield, UT
• Providers in Richfield, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.

Verify at the official NPI Registry.