NPIMap

Individual provider Active NPI

Heather Rae Van Loon, PA-C

  • Physician Assistant
  • SLC, UT
National Provider Identifier
1992052336
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8372563-1206 Issued in UT
Practice address
1950 Circle of Hope
HCH 4TH Floor
SLC, UT 84112-5550
Phone
(801) 585-0100
Fax
(801) 585-2935
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8372563-1206 UT
Physician Assistant 363A00000X 8372563-1206 UT Primary

Addresses

Primary practice location

1950 Circle of Hope
HCH 4TH Floor
SLC, UT 84112-5550

Mailing address

127 S 500 E Ste 600
SLC, UT 84102-1971
Phone (801) 587-6705

Other names 1

  • Heather Rae Richards Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hvanloon242014@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121220000177 UT Practitioner - Physician Assistant 7012169055 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Utah Acuity Care ServicesGroup PAC ID 4789908534, 131 clinicians

Practice addresses (Care Compare)

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 581-2121

Hospital & facility affiliations

  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100Reported as group
Quality
72.06
Promoting interoperability
100
Improvement activities
40
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8372563-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Acuity Care Services CurrentSince Nov 1, 2022 Accepting new patients
University of Utah Adult Services CurrentSince May 16, 2017 Accepting new patients
University of Utah Surgical Services CurrentSince Nov 1, 2022 Accepting new patients
Utah Cancer Specialists PC Physician Assistant CurrentSince May 4, 2015 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 29, 2012 Accepting new patients
University of Utah Surgical Services CurrentSince Nov 1, 2022 Accepting new patients
University of Utah Adult Services CurrentSince May 16, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 29, 2012 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3838 S 700 E
Ste 100
Salt Lake Cty, UT 84106
Phone (801) 269-0231

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

1950 Circle of Hope Dr
Fl 4
Slc, UT 84112
Phone (801) 585-0100

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

Interoperability endpoints

  • Direct secure messaging: hvanloon242014@direct.med.utah.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1992052336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 500 E STE 600",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841021971",
            "telephone_number": "801-587-6705",
            "fax_number": "801-715-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CIRCLE OF HOPE",
            "address_2": "HCH 4TH FLOOR",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-585-0100",
            "fax_number": "801-585-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LOON",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "8372563-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8372563-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hvanloon242014@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "RICHARDS",
            "middle_name": "RAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in SLC, UT

Sources for this page

Verify at the official NPI Registry.