Individual provider Active NPI

Matthew Stephen Morrell, PA-C

  • Physician Assistant
  • Providence, UT
National Provider Identifier
1952015836
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14218605-1206 Issued in UT
Practice address
595 W 465 N
Providence, UT 84332-8002
Phone
(385) 238-3900
Fax
(385) 238-3901
NPI assigned
Jan 5, 2023
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14218605-1206 UT Primary

Addresses

Primary practice location

595 W 465 N
Providence, UT 84332-8002

Mailing address

PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240508000584 MO Practitioner - Physician Assistant 2365883444 Reassigns benefits to 1 organization
I20250822002988 UT Practitioner - Physician Assistant 2365883444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Living Tree Urgent CareGroup PAC ID 8921485954, 3 clinicians
Ogden Clinic Specialty Services LLCGroup PAC ID 1658781422, 131 clinicians

Practice addresses (Care Compare)

1635 N 200
Logan, UT 84341-1913
Phone (435) 565-6043

4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3482

4700 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Apr 2, 2024 Accepting new patients
Ogden Clinic PC Physician Assistant Current Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

970 Medical Dr
Ste 309
Brigham City, UT 84302
Phone (385) 238-3375

4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481

595 W 465 N
Providence, UT 84332
Phone (385) 238-3900

4700 Harrison Blvd
South Ogden, UT 84403
Phone (801) 475-3300

6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1952015836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5546",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802175546",
            "telephone_number": "801-475-3500",
            "fax_number": "801-475-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 W 465 N",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328002",
            "telephone_number": "385-238-3900",
            "fax_number": "385-238-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRELL",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14218605-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, UT

Sources for this page

Verify at the official NPI Registry.