PREMIER FAMILY MEDICAL - VINEYARD
NPI 1093301566
Family Medicine in Vineyard, UT
About Premier Family Medical - Vineyard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER FAMILY MEDICAL - VINEYARD (NPI 1093301566) is a healthcare organization registered as a family medicine in Vineyard, Utah and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Heather Guymon, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Premier Family Medical - Vineyard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
83Medicare enrollment records show 83 clinicians reassign Medicare billing to Premier Family Medical - Vineyard, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 61 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 83Source: 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 46D2156902
Premier Family Medical - Vineyard · 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 Premier Family Medical - Vineyard's NPI number?
The NPI number for Premier Family Medical - Vineyard is 1093301566. It was assigned to this organization in the NPPES registry on December 17, 2020.
Where is Premier Family Medical - Vineyard located?
Premier Family Medical - Vineyard is located at 707 E Mill Rd Ste 303, Vineyard, UT 84059. The listed phone number is (801) 224-1300.
What is Premier Family Medical - Vineyard's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Premier Family Medical - Vineyard enrolled in Medicare?
Yes. Premier Family Medical - Vineyard is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Family Medical - Vineyard?
According to the CMS Revalidation Reassignment List (October 2026 release), 83 clinicians in 8 Medicare specialties reassign their Medicare billing to Premier Family Medical - Vineyard. 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, 1 practice at this address and 61 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premier Family Medical - Vineyard hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2156902) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premier Family Medical - Vineyard accept?
Health plans from University of Utah Health Plans list Premier Family Medical - Vineyard 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 - Vineyard 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.
# Premier Family Medical - Vineyard · NPI 1093301566
Family Medicine organization in Vineyard, Utah. Organization record, active in the CMS NPPES registry since December 17, 2020.
## Identity
- **NPI:** 1093301566 (Entity type: Organization)
- **Enumerated:** December 17, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of Premier Family Medical)
- **Authorized official:** Heather Guymon, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 707 E MILL RD STE 303, Vineyard, UT 84059-5730
- **Phone:** (801) 224-1300 · **Fax:** (801) 225-3236
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 83 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (35), Physical Therapist in Private Practice (3); 1 practice at this address and 61 within 10 miles; [full list](https://npiprofile.com/npi/1093301566/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093301566) · Data from the CMS NPPES public registry.