Individual provider Active NPI

Sandra Dollene Rust, A.P.R.N.

  • Family Nurse Practitioner
  • Vernal, UT
National Provider Identifier
1992251268
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5180478-4405 Issued in UT
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103001568 UT Practitioner - Nurse Practitioner 4385925445 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
5180478-4405UTMDFamily Nurse Practitioner
5180478-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Utah Medical Group CurrentSince Jan 31, 2018 Accepting new patients
Valley Family Clinic Inc Family CurrentSince Nov 1, 2017 Accepting new patients
Northeastern Utah Medical Group Family Medicine CurrentSince Jan 31, 2018 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.