Active NPI
Marcos Antonio Limeira Segundo, APRN
- Family Nurse Practitioner
- Orem, UT
National Provider Identifier
1881401768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12852832-4405
- 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, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12852832-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&C Johnston LLC | Family Medicine | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.