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MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC
NPI 1356588008
Internal Medicine in Ogden, UT

Active since January 17, 2009CLIA 46D1094130 · Waiver
5405 S 500 E, STE. 100, OGDEN, UT 84405(801) 282-5952(801) 569-5990 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 29, 2023, Jan 2, 2023, Oct 28, 2020 (3 updates tracked since 2020).

About Mountainstar Medical Group-ogden Regional Medical Center, Llc NPPES

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

MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC (NPI 1356588008), doing business as Mountainstar Primary Care, Llc, is a healthcare organization registered as an internal medicine in Ogden, Utah and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1356588008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC
Location Address5405 S 500 E, STE. 100Ogden, UT 84405-6957
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426
Phone(801) 282-5952
Fax(801) 569-5990
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateJanuary 17, 2009
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1356588008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5405 S 500 E, Ogden, UT 84405
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Other Names 1

Former Legal Business NameMountainstar Primary Care, Llc

Other Identifiers 1

Medicaid1356588008UT

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, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Mountainstar Medical Group-ogden Regional Medical Center, 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 Mountainstar Medical Group-Ogden Regional Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Adam Craner, APRN
Nurse Practitioner
NPI 1952326357
5405 S 500 E STE. 100
Ogden, UT 84405
(801) 475-7966
✔ PECOS✔ Accepts MedicareSame address
Robert Mohr, MD
Internal Medicine
NPI 1750314480
5405 S 500 E STE. 100
Ogden, UT 84405
(801) 282-5952
✔ PECOS✔ Accepts MedicareSame address
Andrea Bartholomew
Nurse Practitioner
NPI 1609572221
5405 S 500 E STE 100
Ogden, UT 84405
(801) 475-7966
✔ PECOS✔ Accepts Medicare1.5 mi
Ramsey Gosselin, FNP
Nurse Practitioner
NPI 1083140479
425 E 5350 S STE 400
Ogden, UT 84405
(801) 479-0184
✔ PECOS✔ Accepts Medicare8.1 mi
Keith Elkins, M.D.
Family Practice
NPI 1679613475
166 N STATE ST
Morgan, UT 84050
(801) 845-0496
✔ PECOS✔ Accepts Medicare17 mi
Jamison Rees, NP
Nurse Practitioner
NPI 1982231312
166 N STATE ST
Morgan, UT 84050
(801) 845-0496
✔ PECOS✔ Accepts Medicare17 mi

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 46D1094130

Mountainstar Primary Care · Ogden, UT
Active · expires Jan 11, 2027
CLIA Number46D1094130
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorRobert R. Mohr
Laboratory Phone(801) 475-7966
Laboratory LocationMountainstar Primary Care5405 South 500 East Ste 100, Ogden, UT 84405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Mountainstar Medical Group-Ogden Regional Medical Center, LLC's NPI number?

The NPI number for Mountainstar Medical Group-Ogden Regional Medical Center, LLC is 1356588008. It was assigned to this organization in the NPPES registry on January 17, 2009. The provider was formerly known as Mountainstar Primary Care, LLC.

Where is Mountainstar Medical Group-Ogden Regional Medical Center, LLC located?

Mountainstar Medical Group-Ogden Regional Medical Center, LLC is located at 5405 S 500 E Ste. 100, Ogden, UT 84405. The listed phone number is (801) 282-5952.

What is Mountainstar Medical Group-Ogden Regional Medical Center, LLC's specialty?

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

Is Mountainstar Medical Group-Ogden Regional Medical Center, LLC enrolled in Medicare?

Yes. Mountainstar Medical Group-Ogden Regional Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountainstar Medical Group-Ogden Regional Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Mountainstar Medical Group-Ogden Regional Medical Center, 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 (4), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountainstar Medical Group-Ogden Regional Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1094130) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountainstar Medical Group-Ogden Regional Medical Center, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountainstar Medical Group-Ogden Regional Medical Center, 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 Mountainstar Medical Group-Ogden Regional Medical Center, LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.