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MINDFUL MOBILE MEDICINE LLC
NPI 1245068626
Internal Medicine in Midvale, UT

Active since July 25, 2024
623 E FORT UNION BLVD STE 105, MIDVALE, UT 84047(801) 879-2664 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2025, Aug 15, 2024, Jul 29, 2024 and 1 more (4 updates tracked since 2024).

About Mindful Mobile Medicine Llc NPPES

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

MINDFUL MOBILE MEDICINE LLC (NPI 1245068626) is a healthcare organization registered as an internal medicine in Midvale, Utah and active in the NPI registry since July 2024. The organization lists Tyler Young, Vp, as its authorized official.

NPPES Registry Identity

NPI1245068626
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMINDFUL MOBILE MEDICINE LLC
Location Address623 E FORT UNION BLVD STE 105Midvale, UT 84047-5529
Mailing Address623 E Fort Union Blvd Ste 105Midvale, UT 84047-5529 · (385) 412-1660 · Fax (801) 261-5856
Phone(801) 879-2664
Organization SubpartNo
Authorized OfficialTyler YoungVp · (801) 879-2664
Enumeration DateJuly 25, 2024
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1245068626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
623 E FORT UNION BLVD STE 105, Midvale, UT 84047
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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 BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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)

Mindful Mobile Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Mindful Mobile Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Caitlin Clark, FNP
Nurse Practitioner
NPI 1376421883
623 E FORT UNION BLVD STE 105
Midvale, UT 84047
(801) 261-9490
✔ PECOS✔ Accepts MedicareSame address
Carley Florence, APRN, AGPCNP-C
Nurse Practitioner
NPI 1235990565
623 E FORT UNION BLVD STE 105
Midvale, UT 84047
(385) 412-1660
✔ PECOS✔ Accepts MedicareSame address
Cody Morgan, FNP-BC
Nurse Practitioner
NPI 1962088732
2830 S REDWOOD RD
West Valley, UT 84119
(801) 390-0503
✔ PECOS✔ Accepts Medicare6.9 mi
Tonya Wright, PMHNP
Nurse Practitioner
NPI 1053162263
4052 W PIONEER PKWY
West Valley City, UT 84120
(801) 386-1250
✔ PECOS8.0 mi
Tara Agee
Nurse Practitioner
NPI 1366315541
500 FOOTHILL BLVD
Salt Lake City, UT 84148
(801) 582-1565
✔ PECOS✔ Accepts Medicare9.3 mi
Jaime Tracy, LCSW
Clinical Social Worker
NPI 1548528896
1133 N MAIN ST STE 128
Layton, UT 84041
(801) 436-7270
✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mindful Mobile Medicine LLC's NPI number?

The NPI number for Mindful Mobile Medicine LLC is 1245068626. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Mindful Mobile Medicine LLC located?

Mindful Mobile Medicine LLC is located at 623 E Fort Union Blvd Ste 105, Midvale, UT 84047. The listed phone number is (801) 879-2664.

What is Mindful Mobile Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mindful Mobile Medicine LLC enrolled in Medicare?

Yes. Mindful Mobile Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Mobile Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Mindful Mobile Medicine 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. The largest specialties are Nurse Practitioner (5) and Clinical Social Worker (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mindful Mobile Medicine LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mindful Mobile Medicine 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 Mindful Mobile Medicine LLC was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.