AGING CLINIC OF SOUTHERN UTAH PLLC
NPI 1043091960
Psychologist in Cedar City, UT
About Aging Clinic Of Southern Utah Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGING CLINIC OF SOUTHERN UTAH PLLC (NPI 1043091960) is a healthcare organization registered as a psychologist in Cedar City, Utah and active in the NPI registry since October 2023. The organization lists Kirsten Leigh Graham, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Aging Clinic Of Southern Utah Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Aging Clinic Of Southern Utah PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Cedar City, UT 84720
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently 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 Aging Clinic Of Southern Utah PLLC's NPI number?
The NPI number for Aging Clinic Of Southern Utah PLLC is 1043091960. It was assigned to this organization in the NPPES registry on October 6, 2023.
Where is Aging Clinic Of Southern Utah PLLC located?
Aging Clinic Of Southern Utah PLLC is located at 94 S 300 E, Cedar City, UT 84720. The listed phone number is (435) 277-0285.
What is Aging Clinic Of Southern Utah PLLC's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Aging Clinic Of Southern Utah PLLC enrolled in Medicare?
Yes. Aging Clinic Of Southern Utah PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Aging Clinic Of Southern Utah PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Aging Clinic Of Southern Utah PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Aging Clinic Of Southern Utah PLLC was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.