Lexi Ann Hartley, RN, BSN, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Enterprise, UT
NPI 1902641731 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1902641731
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11767398-4405 (UT)
- Practice address
- 571 Main St
Enterprise, UT 84725 - Phone
- (435) 878-5711
- Fax
- (435) 878-5712
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
571 E Main St
Enterprise, UT 84725
Phone (435) 878-5711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816001644 | UT | Practitioner - Nurse Practitioner | 9931647351 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11767398-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current |
Accepting new patients | |
| Main Street Family Medicine PLLC | Current |
Accepting new patients | |
| Revere Health PC | Current |
Accepting new patients |
Locations
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Interoperability endpoints
- lexihartley@cuccu.allscriptsdirect.net
- https://api.platform.athenahealth.com/23119/brand/1/csg/1/fhir/r4
- lexi.hartley.1@23119.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11767398-4405 | UT | Yes |
Addresses
Primary practice location
571 Main St
Enterprise, UT 84725
Mailing address
1055 N 500 W
Attn Credentialing
Provo, UT 84604
Phone (801) 354-8225
Other practice location 1
1001 W Curly Hollow Dr Unit 73
St George, UT 84770-7558
Phone (208) 346-1078
Other names
- Lexi Ann Webster
Other providers in Enterprise, UT
- Enterprise Valley Med Ctr Inc
- Enterprise Valley Medical Clinic, Inc.
- Zachary Douglas Fisher
- Jessica Gardner
- Erin Grover
- Kody Keith Holt
- McKay Jones
- KTM Health Care Inc
- KTM Health Care Inc
- Main Street Family Medicine PLLC
All providers in Enterprise, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.