Danielle Nicole Van Komen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9246493-4405 Issued in UT

Practice address

434 E 5350 S Ste C
Ogden, UT 84405-5417

Phone

(801) 479-2244

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Provider Health Utah PLLCGroup PAC ID 0042649113, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aspen Ridge Home Health Home health agency, Murray, UT, CCN 467220
• Ogden Regional Medical Center Hospital, Ogden, UT, CCN 460005
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Merit-based Incentive Payment System (MIPS)

Final score

88.44 of 100Reported as group

Quality

88.05

Promoting interoperability

98

Improvement activities

40

Cost

75.07

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier Provider Health Utah PLLC

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1699311209
  Medicare reassignment Care Compare group NPD

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

• Ahc Home Health Care of Murray, LLC

  • Home Health Agency
  • Murray, UT
  • NPI 1184778607
  Care Compare affiliation
• Columbia Ogden Medical Center, Inc.

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1720031636
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1912549072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE C",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055417",
            "telephone_number": "801-479-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN KOMEN",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2022-01-20",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "9246493-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle.vankomen@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "434 E 5350 S Ste C",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844055417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valmor Optical LLC
• Valor Medical
• Lexus Ann Van Drimmelen
• Heidi Larena Van Etten, L.M.T
• Jaap Van Gaalen
• Roger William Van Komen, LPC
• Adam Van Orden
• Nicole Lee Van Tassell
• Jaxie Vanbeekum
• McKenna Kelly Vance, BS, APRN

• Family Nurse Practitioner in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.