BODY RENAISSANCE LLC
NPI 1417828971
Nurse Practitioner - Family in Payson, UT
About Body Renaissance Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BODY RENAISSANCE LLC (NPI 1417828971) is a healthcare organization registered as a family in Payson, Utah and active in the NPI registry since September 2025. The organization lists Karl F Stemmler, Credentialing Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Body Renaissance 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 Body Renaissance 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.
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 Body Renaissance LLC's NPI number?
The NPI number for Body Renaissance LLC is 1417828971. It was assigned to this organization in the NPPES registry on September 16, 2025.
Where is Body Renaissance LLC located?
Body Renaissance LLC is located at 86 S Main St, Payson, UT 84651. The listed phone number is (385) 501-1999.
What is Body Renaissance LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Body Renaissance LLC enrolled in Medicare?
Yes. Body Renaissance LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Body Renaissance LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Body Renaissance 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.
When was this NPI record last updated?
The NPPES record for Body Renaissance LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Body Renaissance Llc · NPI 1417828971
Family organization in Payson, Utah. Organization record, active in the CMS NPPES registry since September 16, 2025.
## Identity
- **NPI:** 1417828971 (Entity type: Organization)
- **Enumerated:** September 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Karl Stemmler, CREDENTIALING DIRECTOR
## Practice location
- **Address:** 86 S MAIN ST, Payson, UT 84651-2223
- **Phone:** (385) 501-1999 · **Fax:** (801) 206-3338
## 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:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417828971) · Data from the CMS NPPES public registry.