HIDDEN VALLEY FAMILY MEDICINE INC
NPI 1144246984
Family Medicine in Draper, UT
About Hidden Valley Family Medicine Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIDDEN VALLEY FAMILY MEDICINE INC (NPI 1144246984) is a healthcare organization registered as a family medicine in Draper, Utah and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Dani Lassiter, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Hidden Valley Family Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Hidden Valley Family Medicine Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 46D0947397
Hidden Valley Family Medicine · Draper, 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 Hidden Valley Family Medicine Inc's NPI number?
The NPI number for Hidden Valley Family Medicine Inc is 1144246984. It was assigned to this organization in the NPPES registry on July 14, 2006.
Where is Hidden Valley Family Medicine Inc located?
Hidden Valley Family Medicine Inc is located at 12176 S 1000 E, Draper, UT 84020. The listed phone number is (801) 572-3750.
What is Hidden Valley Family Medicine Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hidden Valley Family Medicine Inc enrolled in Medicare?
Yes. Hidden Valley Family Medicine Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hidden Valley Family Medicine Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Hidden Valley Family Medicine Inc. 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 (4), Family Practice (1) and General Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hidden Valley Family Medicine Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D0947397) is associated with this NPI, valid through June 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Hidden Valley Family Medicine Inc accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Hidden Valley Family Medicine Inc 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 Hidden Valley Family Medicine Inc was last updated on May 8, 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.
# Hidden Valley Family Medicine Inc · NPI 1144246984
Family Medicine organization in Draper, Utah. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1144246984 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dani Lassiter, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 12176 S 1000 E, Draper, UT 84020-9716
- **Phone:** (801) 572-3750 · **Fax:** (801) 572-1097
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (1), General Practice (1); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144246984) · Data from the CMS NPPES public registry.