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ROOSEVELT COMMUNITY CLINIC
NPI 1518247709
Family Medicine in Roosevelt, UT

Active since August 19, 2011
409 S 200 E, ROOSEVELT, UT 84066(435) 725-3327(435) 725-3331 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2024, Oct 25, 2022, Sep 3, 2020 (3 updates tracked since 2020).

About Roosevelt Community Clinic NPPES

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

ROOSEVELT COMMUNITY CLINIC (NPI 1518247709) is a healthcare organization registered as a family medicine in Roosevelt, Utah and active in the NPI registry since August 2011. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1518247709
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASHLEY VALLEY PHYSICIAN PRACTICE, LLC
Location Address409 S 200 ERoosevelt, UT 84066-3314
Mailing Address409 S 200 ERoosevelt, UT 84066-3314 · (435) 725-3327 · Fax (435) 725-3331
Phone(435) 725-3327
Fax(435) 725-3331
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateAugust 19, 2011
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1518247709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
409 S 200 E, Roosevelt, UT 84066
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Other Names 1

Doing Business AsRoosevelt Community Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roosevelt Community Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to Roosevelt Community Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Internal Medicine10
Family Practice9
Nurse Practitioner8
Certified Registered Nurse Anesthetist (CRNA)6
General Surgery6
Orthopedic Surgery6
Hospitalist4
Obstetrics/Gynecology3
5 other specialties5

Nearest to this location (20)

See all 57
Jason Crook, NP
Nurse Practitioner
NPI 1194161190
RR 3 BOX 3616
Myton, UT 84052
(435) 640-2697
✔ PECOS✔ Accepts Medicare7.3 mi
Payton Christensen, DO
Family Practice
NPI 1598451676
150 W 100 N STE N103
Vernal, UT 84078
(435) 789-3405
✔ PECOS26 mi
Wendy Dunn, FNP-C
Nurse Practitioner
NPI 1881570927
150 W 100 N
Vernal, UT 84078
(435) 789-3342
✔ PECOS✔ Accepts Medicare26 mi
Kayce Houge
Nurse Practitioner
NPI 1295605210
150 W 100 N
Vernal, UT 84078
(435) 789-3342
✔ PECOS✔ Accepts Medicare26 mi
Craig Nielsen
Nurse Practitioner
NPI 1659222040
150 W 100 N
Vernal, UT 84078
(435) 789-3342
✔ PECOS✔ Accepts Medicare26 mi
Danette Foster, CNM
Certified Nurse Midwife (CNM)
NPI 1205467487
150 W 100 N STE GL02
Vernal, UT 84078
(435) 789-6962
✔ PECOS✔ Accepts Medicare26 mi
Timothy Hawkes, D.O.
Orthopedic Surgery
NPI 1083954176
150 W 100 N STE S201
Vernal, UT 84078
(435) 789-0305
✔ PECOS✔ Accepts Medicare26 mi
Sterling Haws, MD, MPH
Internal Medicine
NPI 1194288530
150 W 100 N STE 205C
Vernal, UT 84078
(435) 789-3340
✔ PECOS✔ Accepts Medicare26 mi
Trevor Mathis, M.D.
General Surgery
NPI 1205008844
150 W 100 N STE 102-S
Vernal, UT 84078
(435) 781-2161
✔ PECOS✔ Accepts Medicare26 mi
Eileen Joyce, M.D.
Obstetrics/Gynecology
NPI 1104880178
150 WEST 100 NORTH GL02
Vernal, UT 84078
(435) 789-6962
✔ PECOS✔ Accepts Medicare27 mi
John Griffith, MD
Obstetrics/Gynecology
NPI 1235191933
175 N 100 W SUITE 103
Vernal, UT 84078
(435) 781-1099
✔ PECOS✔ Accepts Medicare27 mi
Kayden Barber, MD
Internal Medicine
NPI 1689254419
FAMILY MEDICINE CLINIC 150 N 100 W SUITE N102
Vernal Utah, UT 84078
(435) 789-3342
✔ PECOS✔ Accepts Medicare35 mi
Matthew Bowen, D.O.
Family Practice
NPI 1407143324
175 N 100 W SUITE 205A
Vernal, UT 84078
(435) 781-1200
✔ PECOS✔ Accepts Medicare35 mi
Dustin Bradley
Certified Registered Nurse Anesthetist (CRNA)
NPI 1942684162
808 W 300 N
Vernal, UT 84078
(435) 828-2541
✔ Accepts Medicare35 mi
Michael Hartman
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417075102
151 W 200 N
Vernal, UT 84078
(435) 789-3352
✔ Accepts Medicare35 mi
Stephen Rockhill, DPM
Podiatry
NPI 1598313678
405 N 500 W BLDG 3
Vernal, UT 84078
(435) 247-1103
✔ PECOS✔ Accepts Medicare35 mi
Joshua Napier, MD
Hospitalist
NPI 1013981539
900 ROUND VALLEY DR
Park City, UT 84060
(435) 658-7400
✔ PECOS✔ Accepts Medicare82 mi
Daniel Hoopes, M.D.
Orthopedic Surgery
NPI 1255505582
1055 N 500 W SUITE 121 BLDG C
Provo, UT 84604
(801) 373-7350
✔ PECOS✔ Accepts Medicare88 mi
J Cameron Kesler, DO
Hospitalist
NPI 1225189020
170 N 1100 E
American Fork, UT 84003
(801) 855-3267
✔ PECOS✔ Accepts Medicare94 mi
Xondra Driggs, M.D.
General Surgery
NPI 1063648590
1248 E 90 N STE 102
American Fork, UT 84003
(801) 756-9132
✔ PECOS✔ Accepts Medicare94 mi
See all 57 clinicians

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 Ashley Valley Physician Practice, LLC's NPI number?

The NPI number for Ashley Valley Physician Practice, LLC is 1518247709. It was assigned to this organization in the NPPES registry on August 19, 2011. The provider is doing business as Roosevelt Community Clinic.

Where is Ashley Valley Physician Practice, LLC located?

Ashley Valley Physician Practice, LLC is located at 409 S 200 E, Roosevelt, UT 84066. The listed phone number is (435) 725-3327.

What is Ashley Valley Physician Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ashley Valley Physician Practice, LLC enrolled in Medicare?

Yes. Ashley Valley Physician Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ashley Valley Physician Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 13 Medicare specialties reassign their Medicare billing to Ashley Valley Physician Practice, 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 Internal Medicine (10), Family Practice (9) and Nurse Practitioner (8). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Valley Physician Practice, LLC was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.