Active NPI
Cydney Mortensen, PA
- Physician Assistant
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 375147-1206
- Practice address
- 3580 W 9000 S
West Jordan, UT 84088-8812 - Phone
- (801) 561-8888
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 375147-1206 | UT | Primary |
Addresses
Primary practice location
3580 W 9000 S
West Jordan, UT 84088-8812
Mailing address
370 E South Temple
Ste 260
Salt Lake City, UT 84111-1206
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
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
598 W 900
Suite 105
Woods Cross, UT 84010-8329
Phone (801) 693-4040
85 E 2000
Tooele, UT 84074-9280
Phone (435) 843-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health LLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Current | Accepting new patients | |
| Associates for Inpatient Medicine, LLC | Past | Accepting new patients |
Locations
1481 E 1450 S
Clearfield, UT 84015
Phone (801) 397-4300
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2730 E 3300 S
Salt Lake Cty, UT 84109
Phone (801) 487-0896
85 E 2000 N
Tooele, UT 84074
Phone (435) 843-2000
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
598 W 900 S
Ste 220
Woods Cross, UT 84010
Phone (801) 693-2310
598 W 900 S
Ste 105
Woods Cross, UT 84010
Phone (801) 693-4040
598 W 900 S
Ste 230
Woods Cross, UT 84010
Phone (385) 403-0410
Organizations & group practices 6
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Woods Cross, UT
- NPI 1134721228
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
UT
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
-
- Internal Medicine Physician
- Salt Lake City, UT
- NPI 1750488433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tooele, UT
- NPI 1124090659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1992766901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 E SOUTH TEMPLE",
"address_2": "STE 260",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888812",
"telephone_number": "801-561-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTENSEN",
"first_name": "CYDNEY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "375147-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.