WILSON MEDICAL HOLDINGS-CARDIOLOGY
NPI 1043697683
Internal Medicine - Cardiovascular Disease in Wilson, WY

Active since May 04, 2015CLIA 53D1085580 · Waiver
5235 HHR RANCH RD, WILSON, WY 83014(801) 581-2121 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wilson Medical Holdings-cardiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILSON MEDICAL HOLDINGS-CARDIOLOGY (NPI 1043697683) is a healthcare organization registered as a cardiovascular disease in Wilson, Wyoming and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 19, 2028 and lists Sean Mulvihill, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1043697683
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameUNIVERSITY OF UTAH ADULT SERVICES
Location Address5235 HHR RANCH RDWilson, WY 83014-9210
Mailing AddressPo Box 413033Salt Lake City, UT 84141-3033
Organization SubpartYes
Authorized OfficialSean MulvihillChief Medical Officer · (801) 581-2121
Enumeration DateMay 4, 2015
✔ NPI 1043697683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5235 HHR RANCH RD, Wilson, WY 83014

Other Names 1

Doing Business AsWilson Medical Holdings-cardiology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilson Medical Holdings-cardiology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

91

Medicare enrollment records show 91 clinicians reassign Medicare billing to Wilson Medical Holdings-Cardiology, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Emergency Medicine64
Cardiovascular Disease (Cardiology)7
Nurse Practitioner6
Vascular Surgery4
Cardiac Electrophysiology3
Nephrology3
Internal Medicine2
Family Practice1
1 other specialty1

Nearest to this location (20)

See all 91
Cardiovascular Disease (Cardiology)
NPI 1427282318
555 E BROADWAY AVE STE 229
Jackson, WY 83001
(307) 739-7690
✔ PECOS✔ Accepts Medicare6.0 mi
Emergency Medicine
NPI 1780927541
625 E BROADWAY AVE
Jackson, WY 83001
(307) 733-3636
✔ PECOS✔ Accepts Medicare6.0 mi
Nephrology
NPI 1700143930
630 E 1400 N STE 150
Logan, UT 84341
(435) 932-2038
✔ PECOS✔ Accepts Medicare130 mi
Family Practice
NPI 1851379119
1200 COLLEGE DR
Rock Springs, WY 82901
(307) 362-3711
✔ PECOS✔ Accepts Medicare156 mi
Emergency Medicine
NPI 1033271366
1200 COLLEGE DR
Rock Springs, WY 82901
(307) 352-8350
✔ PECOS✔ Accepts Medicare156 mi
Nurse Practitioner
NPI 1992373948
3684 CUSTER AVE
South Ogden, UT 84403
(801) 644-1779
✔ PECOS✔ Accepts Medicare168 mi
Emergency Medicine
NPI 1548792187
30 N 1900 E RM 1C026
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare195 mi
Cardiovascular Disease (Cardiology)
NPI 1790866580
100 N MEDICAL DR
Salt Lake City, UT 84113
(801) 588-2000
✔ PECOS✔ Accepts Medicare195 mi
Nurse Practitioner
NPI 1497159487
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-7676
✔ PECOS✔ Accepts Medicare195 mi
Emergency Medicine
NPI 1376048090
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-2121
✔ PECOS✔ Accepts Medicare195 mi
Nurse Practitioner
NPI 1265831390
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-7676
✔ PECOS195 mi
Vascular Surgery
NPI 1467542084
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 581-8301
✔ PECOS✔ Accepts Medicare195 mi
Cardiac Electrophysiology
NPI 1841286531
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-0434
✔ PECOS✔ Accepts Medicare195 mi
Internal Medicine
NPI 1255421848
50 N MEDICAL DR
Salt Lake City, UT 84132
(801) 585-7676
✔ PECOS✔ Accepts Medicare195 mi
Vascular Surgery
NPI 1982754107
30 N 1900 E
Salt Lake City, UT 84132
(801) 581-8301
✔ PECOS✔ Accepts Medicare195 mi
Cardiovascular Disease (Cardiology)
NPI 1154538148
30 N 1900 E UNIVERSITY OF UTAH HOSPITAL
Salt Lake City, UT 84132
(801) 585-3362
✔ PECOS✔ Accepts Medicare195 mi
Interventional Cardiology
NPI 1558557322
5126 W DAYBREAK PKWY
South Jordan, UT 84009
(801) 213-4500
✔ PECOS✔ Accepts Medicare212 mi
Cardiac Electrophysiology
NPI 1396937363
395 W COUGAR BLVD
Provo, UT 84604
(435) 357-4600
✔ PECOS✔ Accepts Medicare228 mi
Internal Medicine
NPI 1982635843
820 N CHELAN AVE
Wenatchee, WA 98801
(509) 663-8711
✔ PECOS533 mi
Nephrology
NPI 1447212758
1 UNIVERSITY OF NEW MEXICO MSC 10-5550
Albuquerque, NM 87131
(505) 272-4750
✔ PECOS✔ Accepts Medicare625 mi
See all 91 clinicians

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 53D1085580

Wilson Medical · Wilson, WY
Active · expires Jun 19, 2028
CLIA Number53D1085580
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorMichael Menolascino
Laboratory Phone(307) 739-7696
Laboratory LocationWilson Medical5235 Hhr Ranch Rd, Wilson, WY 83014
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 University Of Utah Adult Services's NPI number?

The NPI number for University Of Utah Adult Services is 1043697683. It was assigned to this organization in the NPPES registry on May 4, 2015. The provider is doing business as Wilson Medical Holdings-Cardiology.

Where is University Of Utah Adult Services located?

University Of Utah Adult Services is located at 5235 Hhr Ranch Rd, Wilson, WY 83014. The listed phone number is (801) 581-2121.

What is University Of Utah Adult Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is University Of Utah Adult Services enrolled in Medicare?

Yes. University Of Utah Adult Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Utah Adult Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 91 clinicians in 9 Medicare specialties reassign their Medicare billing to University Of Utah Adult Services. 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. The largest specialties are Emergency Medicine (64), Cardiovascular Disease (Cardiology) (7) and Nurse Practitioner (6). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does University Of Utah Adult Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D1085580) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for University Of Utah Adult Services was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.