NORTHERN VALLEY FAMILY MEDICINE
NPI 1285430207
Nurse Practitioner - Family in Logan, UT
About Northern Valley Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN VALLEY FAMILY MEDICINE (NPI 1285430207) is a healthcare organization registered as a family in Logan, Utah and active in the NPI registry since February 2025. The organization lists Kimberly Lynn Tagg, Owner, 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)
Northern Valley Family Medicine 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 Northern Valley Family Medicine, 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.
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 Northern Valley Family Medicine's NPI number?
The NPI number for Northern Valley Family Medicine is 1285430207. It was assigned to this organization in the NPPES registry on February 20, 2025.
Where is Northern Valley Family Medicine located?
Northern Valley Family Medicine is located at 550 N Main St Ste 117, Logan, UT 84321. The listed phone number is (435) 265-1675.
What is Northern Valley Family Medicine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Northern Valley Family Medicine enrolled in Medicare?
Yes. Northern Valley Family Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northern Valley Family Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Northern Valley Family Medicine. 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.
What insurance does Northern Valley Family Medicine accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Northern Valley Family Medicine 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 Northern Valley Family Medicine was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Northern Valley Family Medicine · NPI 1285430207
Family organization in Logan, Utah. Organization record, active in the CMS NPPES registry since February 20, 2025.
## Identity
- **NPI:** 1285430207 (Entity type: Organization)
- **Enumerated:** February 20, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Kimberly Tagg, OWNER
## Practice location
- **Address:** 550 N MAIN ST STE 117, Logan, UT 84321-3984
- **Phone:** (435) 265-1675 · **Fax:** (800) 549-9403
## 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:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285430207) · Data from the CMS NPPES public registry.