1. Home
  2. Directory
  3. Utah
  4. Eagle Mountain
  5. Family Medicine
  6. NPI Profile

PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
NPI 1043762479
Family Medicine in Eagle Mountain, UT

Active since November 02, 2016CLIA Certified · 2 labs
3943 E PONY EXPRESS PKWY STE 120, EAGLE MOUNTAIN, UT 84005(801) 756-3511(801) 756-1705 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 4, 2022, Nov 2, 2016 (2 updates tracked since 2016).

About Premier Family Medical - Eagle Mountain NPPES

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

PREMIER FAMILY MEDICAL - EAGLE MOUNTAIN (NPI 1043762479) is a healthcare organization registered as a family medicine in Eagle Mountain, Utah and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates and lists Heather Guymon, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043762479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREMIER FAMILY MEDICAL - EAGLE MOUNTAIN
Location Address3943 E PONY EXPRESS PKWY STE 120Eagle Mountain, UT 84005-5543
Mailing Address3943 E Pony Express Pkwy Ste 120Eagle Mountain, UT 84005-5543 · (801) 789-5566 · Fax (801) 642-2941
Phone(801) 756-3511
Fax(801) 756-1705
Organization SubpartYesParent: Premier Family Medical
Authorized OfficialHeather GuymonCredentialing Specialist · (801) 769-2571
Enumeration DateNovember 2, 2016
Last NPPES UpdateMarch 22, 20242 updates tracked since enumeration
NPPES CertifiedMarch 22, 2024
✔ NPI 1043762479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3943 E PONY EXPRESS PKWY STE 120, Eagle Mountain, UT 84005
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.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)

Premier Family Medical - Eagle Mountain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

83

Medicare enrollment records show 83 clinicians reassign Medicare billing to Premier Family Medical - Eagle Mountain, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner38
Family Practice35
Physical Therapist in Private Practice3
Clinical Social Worker2
Dermatology2
Anesthesiology1
Mental Health Counselor1
Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 83
Jared Roberts
Family Practice
NPI 1962031435
3943 E PONY EXPRESS PKWY STE 120
Eagle Mountain, UT 84005
(801) 789-5566
✔ PECOS✔ Accepts MedicareSame address
Brian Simmons, FNP-C
Nurse Practitioner
NPI 1225508096
3943 E PONY EXPRESS PKWY STE 120
Eagle Mountain, UT 84005
(801) 789-5566
✔ PECOS✔ Accepts MedicareSame address
Miles Layton, D.O.
Family Practice
NPI 1790948669
76 E COMMERCE DR STE 204
Saratoga Springs, UT 84045
(801) 766-8427
✔ PECOS✔ Accepts Medicare3.4 mi
Stephen Berendson, FNP-C
Nurse Practitioner
NPI 1124710017
2506 W 2400 N
Lehi, UT 84043
(801) 372-3889
✔ PECOS✔ Accepts Medicare3.6 mi
Rachael Norene
Nurse Practitioner
NPI 1386512275
4317 N PONY EXPRESS PKWY STE 150
Eagle Mountain, UT 84005
(801) 788-4779
✔ PECOS✔ Accepts Medicare4.4 mi
Katie Tuft, APRN
Nurse Practitioner
NPI 1255202735
2600 W MAIN ST
Lehi, UT 84043
(801) 623-2071
✔ PECOS✔ Accepts Medicare4.4 mi
Jared Price, NP-C
Nurse Practitioner
NPI 1568941284
610 S 850 E STE 100
Lehi, UT 84043
(385) 367-2776
✔ PECOS4.7 mi
Clint Mower
Family Practice
NPI 1437653854
680 E MAIN ST
Lehi, UT 84043
(801) 768-1699
✔ PECOS✔ Accepts Medicare6.1 mi
Sonya Spencer, FNP
Nurse Practitioner
NPI 1962101204
680 E MAIN ST
Lehi, UT 84043
(801) 768-1699
✔ PECOS✔ Accepts Medicare6.1 mi
Sandra Miller, APRN
Nurse Practitioner
NPI 1437105269
252 W KESTREL DRIVE
Saratoga Springs, UT 84045
(801) 756-3511
✔ PECOS6.1 mi
Morgan Bateman, FNP
Nurse Practitioner
NPI 1639648660
3000 N TRIUMPH BLVD STE 100
Lehi, UT 84043
(385) 203-1215
✔ PECOS✔ Accepts Medicare6.4 mi
Tauaina Ngatuvai, M.D.
Family Practice
NPI 1003992470
680 E. MAIN ST.
Lehi, UT 84043
(801) 768-1699
✔ PECOS✔ Accepts Medicare7.1 mi
Toran Macarthur, M.D.
Family Practice
NPI 1063521177
680 E MAIN ST
Lehi, UT 84043
(801) 768-1699
✔ PECOS✔ Accepts Medicare7.1 mi
Cheryl Johnson, M.D.
Family Practice
NPI 1417066671
680 E MAIN ST
Lehi, UT 84043
(801) 768-0821
✔ PECOS✔ Accepts Medicare7.1 mi
Shawn Mcmanus, DO
Family Practice
NPI 1376707323
680 E MAIN ST
Lehi, UT 84043
(801) 768-1699
✔ PECOS✔ Accepts Medicare7.1 mi
Taylor Nielsen, CMHC
Mental Health Counselor
NPI 1457750499
680 E MAIN ST
Lehi, UT 84043
(801) 768-1699
✔ PECOS7.1 mi
Corrie Stapleton, NP
Nurse Practitioner
NPI 1225796451
1112 E 300 N STE 202
American Fork, UT 84003
(801) 577-7055
✔ PECOS8.6 mi
Justin Crop, D.O.
Family Practice
NPI 1801090659
226 N 1100 E
American Fork, UT 84003
(801) 855-3840
✔ PECOS✔ Accepts Medicare9.0 mi
Jessica Fraughton, FNP
Nurse Practitioner
NPI 1083309645
170 N 1100 E
American Fork, UT 84003
(801) 855-3337
✔ PECOS9.0 mi
Aaron Peterson, D.O.
Dermatology
NPI 1861648644
48 N 1100 E
American Fork, UT 84003
(801) 642-2950
✔ PECOS✔ Accepts Medicare9.0 mi
See all 83 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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 46D2125977

Premier Family Medical-Eagle Mountain · Eagle Mountain, UT
Active · expires Feb 15, 2027
CLIA Number46D2125977
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2025
Certificate Expiration DateFebruary 15, 2027
Laboratory DirectorTroy Baker
Laboratory Phone(801) 789-5566
Laboratory LocationPremier Family Medical-Eagle Mountain3943 East Pony Express Parkway #120, Eagle Mountain, UT 84005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 46D2324266

Premier Family Medical · Eagle Mountain, UT
Active · expires May 20, 2027
CLIA Number46D2324266
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2025
Certificate Expiration DateMay 20, 2027
Laboratory DirectorJared M. Roberts
Laboratory Phone(801) 789-4779
Laboratory LocationPremier Family Medical4317 N Pony Express Parkway, Suite 150, Eagle Mountain, UT 84005
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Premier Family Medical - Eagle Mountain's NPI number?

The NPI number for Premier Family Medical - Eagle Mountain is 1043762479. It was assigned to this organization in the NPPES registry on November 2, 2016.

Where is Premier Family Medical - Eagle Mountain located?

Premier Family Medical - Eagle Mountain is located at 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005. The listed phone number is (801) 756-3511.

What is Premier Family Medical - Eagle Mountain's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Premier Family Medical - Eagle Mountain enrolled in Medicare?

Yes. Premier Family Medical - Eagle Mountain is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Family Medical - Eagle Mountain?

According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 8 Medicare specialties reassign their Medicare billing to Premier Family Medical - Eagle Mountain. 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 Nurse Practitioner (38), Family Practice (35) and Physical Therapist in Private Practice (3). Of these, 2 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Family Medical - Eagle Mountain hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Premier Family Medical - Eagle Mountain accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Premier Family Medical - Eagle Mountain 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 Premier Family Medical - Eagle Mountain was last updated on March 22, 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.