MICHAELA ANTJE SQUIRE DO
NPI 1376164061
Psychiatry & Neurology - Neurology in Salt Lake City, UT
About Michaela Antje Squire Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAELA ANTJE SQUIRE DO (NPI 1376164061) is an individual neurology provider in Salt Lake City, Utah, licensed in Utah (14212907-1204) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michaela Antje Squire Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michaela Squire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84132
- Reassigned Medicare billing, Utah enrollment
- 751 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84113
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 Michaela Squire's NPI number?
The NPI number for Michaela Squire is 1376164061. It was assigned to this individual provider in the NPPES registry on May 4, 2020.
Where is Michaela Squire located?
Michaela Squire practices at 81 N Mario Capecchi Dr Rm 4b096, Salt Lake City, UT 84113. The listed phone number is (801) 581-2121.
What is Michaela Squire's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Michaela Squire enrolled in Medicare?
Yes. Michaela Squire is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michaela Squire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Squire reassigns Medicare benefits to University Of Utah Pediatric Services (Salt Lake City, UT). The 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 Michaela Squire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michaela Squire accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Michaela Squire 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 Michaela Squire was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Michaela Antje Squire, DO · NPI 1376164061
Neurology physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since May 4, 2020.
## Identity
- **NPI:** 1376164061 (Entity type: Individual)
- **Enumerated:** May 4, 2020
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 14212907-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 N MARIO CAPECCHI DR RM 4B096, Salt Lake City, UT 84113-1125
- **Phone:** (801) 581-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Pediatric Services (NPI 1568826055, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376164061) · Data from the CMS NPPES public registry.