Individual provider Active NPI

Marcos Antonio Limeira Segundo, APRN

  • Family Nurse Practitioner
  • Orem, UT
National Provider Identifier
1881401768
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12852832-4405 Issued in UT
Practice address
153 N 400 W
Orem, UT 84057-1909
Phone
(801) 921-2260
Fax
(855) 566-8337
NPI assigned
Dec 14, 2024
Last updated
May 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12852832-4405 UT Primary

Addresses

Primary practice location

153 N 400 W
Orem, UT 84057-1909

Mailing address

153 N 400 W
Orem, UT 84057-1909
Phone (715) 240-0054

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
I20260219004597 UT Practitioner - Nurse Practitioner 3779064522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aandc Johnston LLCGroup PAC ID 5799107025, 5 clinicians

Practice addresses (Care Compare)

153 N 400
Orem, UT 84057-1909
Phone (801) 921-2260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12852832-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A&C Johnston LLC Family Medicine CurrentSince Dec 21, 2025 Accepting new patients

Locations

153 N 400 W
Orem, UT 84057
Phone (801) 921-2260

895 W Center St
Orem, UT 84057
Phone (801) 221-1220

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1881401768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "715-240-0054",
            "fax_number": "855-566-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 N 400 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840571909",
            "telephone_number": "801-921-2260",
            "fax_number": "855-566-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMEIRA SEGUNDO",
        "first_name": "MARCOS ANTONIO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "12852832-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.