Active NPI
Sandra Dollene Rust, A.P.R.N.
- Family Nurse Practitioner
- Vernal, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5180478-4405
- Practice address
- 285 E 100 S
Vernal, UT 84078-2636 - Phone
- (435) 789-0064
- Fax
- (435) 789-0537
- NPI assigned
- Aug 28, 2016
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5180478-4405 | UT | Primary |
| Family Nurse Practitioner | 363LF0000X | 5180478-8900 | UT |
Addresses
Primary practice location
285 E 100 S
Vernal, UT 84078-2636
Mailing address
285 E 100 S
Vernal, UT 84078-2636
Phone (435) 789-0064
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
285 E 100
Vernal, UT 84078-2636
Phone (435) 789-0064
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5180478-4405 | UT | MD | Family Nurse Practitioner |
| 5180478-8900 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Utah Medical Group | Current | Accepting new patients | |
| Valley Family Clinic Inc | Family | Current | Accepting new patients |
| Northeastern Utah Medical Group | Family Medicine | Current | Accepting new patients |
Locations
50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426
210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691
210 W 300 N
Ste 753
Roosevelt, UT 84066
38080 W State Road 35
Tabiona, UT 84072
Phone (435) 848-5509
266 W 100 N
Ste 6
Vernal, UT 84078
Phone (435) 789-0064
285 E 100 S
Vernal, UT 84078
Phone (435) 789-4483
405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335
475 N 500 W
Vernal, UT 84078
Phone (435) 781-2030
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Roosevelt, UT
- NPI 1982664199
-
- Durable Medical Equipment & Medical Supplies
- Roosevelt, UT
- NPI 1740482009
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ashley Regional Medical Center
- General Acute Care Hospital
- Vernal, UT
- NPI 1447296249
-
- General Acute Care Hospital
- Roosevelt, UT
- NPI 1871556217
-
dba Uintah Basin Medical Center Vernal
- General Acute Care Hospital
- Vernal, UT
- NPI 1881447571
-
dba UBMC Physical Therapy
- Physical Therapy Clinic/Center
- Ballard, UT
- NPI 1912750662
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1992251268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-0064",
"fax_number": "435-789-0537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 E 100 S",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782636",
"telephone_number": "435-789-0064",
"fax_number": "435-789-0537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "SANDRA",
"middle_name": "DOLLENE",
"credential": "A.P.R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5180478-4405",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5180478-8900",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.