Individual provider Active NPI

Cydney Mortensen, PA

  • Physician Assistant
  • West Jordan, UT
National Provider Identifier
1992766901
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
375147-1206 Issued in UT
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

Updated by the provider on Sep 5, 2007

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000710 UT Practitioner - Physician Assistant 0547174005 Reassigns benefits to 4 organizations

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
Senior Health LLCGroup PAC ID 6305260746, 27 clinicians

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

OrganizationSpecialtyStatusNew patients
Senior Health LLC CurrentSince Nov 1, 2022 Accepting new patients
Utah Regional Hospitalists LLC CurrentSince Nov 1, 2019 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.

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": "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

Verify at the official NPI Registry.