Emily Payne

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12445634-1206 Issued in UT

Practice address

661 W South Jordan Pkwy
South Jordan, UT 84095-8524

Phone

(801) 302-2690

NPI assigned

Aug 10, 2021

Last updated

Oct 13, 2021By the provider in NPPES

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 4

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Castleview Hospital Hospital, Price, UT, CCN 460011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emily.payne.1@19848.direct.athenahealth.com
• Direct secure messaging: nhe3103@yourcarecommunity.org

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.

• Castleview Physician Practice LLC

  • Pediatrics Physician
  • Price, UT
  • NPI 1013364884
  Medicare reassignment Care Compare group
• Castleview Hospital, LLC

  dba Castleview Hospital

  • Family Medicine Physician
  • Price, UT
  • NPI 1639253321
  Medicare reassignment
• 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
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Provo, UT
  • NPI 1093764805
  Medicare reassignment
• Castleview Physician Practice, LLC

  dba Castleview Urgent Care

  • Family Medicine Physician
  • Price, UT
  • NPI 1326569245
  NPD
• Castleview Physician Practice, LLC

  dba Ateeq-Ahmed Patel, MD

  • Surgery Physician
  • Price, UT
  • NPI 1396985693
  NPD
• Ihc Health Services Inc

  dba Primary Children's Hospital Specialty Clinic Physicians Group

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1003255464
  NPD
• Ihc Health Services Inc

  dba Intermountain Cardiac Imaging

  • Body Imaging Physician
  • Salt Lake City, UT
  • NPI 1174713978
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD
• Wasatch Pain Solutions, PC

  • Interventional Pain Medicine Physician
  • South Jordan, UT
  • NPI 1841531340
  NPD

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

• Castleview Hospital LLC

  dba Castleview Hospital

  • Rural Acute Care Hospital
  • Price, UT
  • NPI 1417064205
  Care Compare affiliation

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1932874104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130401",
            "telephone_number": "435-609-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W SOUTH JORDAN PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958524",
            "telephone_number": "801-302-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "972 N 600 E",
            "address_purpose": "LOCATION",
            "city": "Spanish Fork",
            "state": "UT",
            "postal_code": "846601306",
            "country_code": "US",
            "telephone_number": "801-465-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4095 E Pony Express Pkwy",
            "address_purpose": "LOCATION",
            "city": "Eagle Mountain",
            "state": "UT",
            "postal_code": "840055529",
            "country_code": "US",
            "telephone_number": "801-429-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 W SR 164",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "UT",
            "postal_code": "84653",
            "country_code": "US",
            "telephone_number": "801-465-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N 500 W Bldg A",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043305",
            "country_code": "US",
            "telephone_number": "801-812-5033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12445634-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "4095 E Pony Express Pkwy",
            "city": "Eagle Mountain",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840055529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "972 N 600 E",
            "city": "Spanish Fork",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846601306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "1055 N 500 W Bldg A",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreview@reverehealth.com",
            "affiliation": "Y",
            "affiliationName": "Central Utah Clinic, P.C.",
            "address_1": "555 W SR 164",
            "city": "Salem",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Israel Patterson
• Jessica Patton
• Gabrielle Nicole Paulsin, CSW
• Robert Curtis Paxton, DMD
• Payne Pediatric Dentistry
• Rodney G Payne, D.D.S., M.S.
• Shylo Victoria Payne, FNP-C
• Peach Tree Counseling, LLC
• Peak 5 Family Dentistry
• Stephanie Lorraine Pearce

• Physician Assistant in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.