RIDGELINE TERRACE PSYCHIATRY & WELLNESS LLC
NPI 1245047190
Nurse Practitioner - Psychiatric/Mental Health in Price, UT
About Ridgeline Terrace Psychiatry & Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RIDGELINE TERRACE PSYCHIATRY & WELLNESS LLC (NPI 1245047190) is a healthcare organization registered as a psychiatric/mental health in Price, Utah and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Jessica Garner, Owner, Operator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Ridgeline Terrace Psychiatry & Wellness Llc 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 Ridgeline Terrace Psychiatry & Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 46D2336283
Ridgeline Terrace Psychiatry And Wellness · Price, 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 Ridgeline Terrace Psychiatry & Wellness LLC's NPI number?
The NPI number for Ridgeline Terrace Psychiatry & Wellness LLC is 1245047190. It was assigned to this organization in the NPPES registry on December 13, 2024.
Where is Ridgeline Terrace Psychiatry & Wellness LLC located?
Ridgeline Terrace Psychiatry & Wellness LLC is located at 250 N Fairgrounds Rd Ste 3, Price, UT 84501. The listed phone number is (435) 299-7083.
What is Ridgeline Terrace Psychiatry & Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ridgeline Terrace Psychiatry & Wellness LLC enrolled in Medicare?
Yes. Ridgeline Terrace Psychiatry & Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ridgeline Terrace Psychiatry & Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ridgeline Terrace Psychiatry & Wellness LLC. 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.
Does Ridgeline Terrace Psychiatry & Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2336283) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ridgeline Terrace Psychiatry & Wellness LLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ridgeline Terrace Psychiatry & Wellness LLC 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 Ridgeline Terrace Psychiatry & Wellness LLC was last updated on January 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Ridgeline Terrace Psychiatry & Wellness Llc · NPI 1245047190
Psychiatric/Mental Health organization in Price, Utah. Organization record, active in the CMS NPPES registry since December 13, 2024.
## Identity
- **NPI:** 1245047190 (Entity type: Organization)
- **Enumerated:** December 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Jessica Garner, OWNER, OPERATOR
## Practice location
- **Address:** 250 N FAIRGROUNDS RD STE 3, Price, UT 84501-4201
- **Phone:** (435) 299-7083 · **Fax:** (435) 637-2176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 1, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1245047190) · Data from the CMS NPPES public registry.