MOUNTAIN PEAKS FAMILY PRACTICE LC
NPI 1023263969
Clinic/Center - Health Service in Orem, UT
About Mountain Peaks Family Practice Lc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN PEAKS FAMILY PRACTICE LC (NPI 1023263969) is a healthcare organization registered as a health service in Orem, Utah and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Melissa Skala Bassett, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mountain Peaks Family Practice Lc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Mountain Peaks Family Practice Lc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D0928175
Mountain Peaks Family Practice · Orem, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mountain Peaks Family Practice Lc's NPI number?
The NPI number for Mountain Peaks Family Practice Lc is 1023263969. It was assigned to this organization in the NPPES registry on November 19, 2008.
Where is Mountain Peaks Family Practice Lc located?
Mountain Peaks Family Practice Lc is located at 501 E 770 N, Orem, UT 84097. The listed phone number is (801) 724-9840.
What is Mountain Peaks Family Practice Lc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Mountain Peaks Family Practice Lc enrolled in Medicare?
Yes. Mountain Peaks Family Practice Lc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Peaks Family Practice Lc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Mountain Peaks Family Practice Lc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mountain Peaks Family Practice Lc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0928175) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Mountain Peaks Family Practice Lc accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountain Peaks Family Practice Lc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mountain Peaks Family Practice Lc was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mountain Peaks Family Practice Lc · NPI 1023263969
Health Service organization in Orem, Utah. Organization record, active in the CMS NPPES registry since November 19, 2008.
## Identity
- **NPI:** 1023263969 (Entity type: Organization)
- **Enumerated:** November 19, 2008
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Melissa Bassett, MANAGER
## Practice location
- **Address:** 501 E 770 N, Orem, UT 84097-4102
- **Phone:** (801) 724-9840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023263969) · Data from the CMS NPPES public registry.