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FEMININE FORMS LLC
NPI 1578035713
Prosthetic/Orthotic Supplier in American Fork, UT

Active since December 28, 2018
345 S 500 E, AMERICAN FORK, UT 84003(801) 770-0600(801) 770-4565 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2019, Dec 28, 2018 (2 updates tracked since 2018).

About Feminine Forms Llc NPPES

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

FEMININE FORMS LLC (NPI 1578035713) is a healthcare organization registered as a prosthetic/orthotic supplier in American Fork, Utah and active in the NPI registry since December 2018. The organization lists Liesa Naegle, Manager, as its authorized official.

NPPES Registry Identity

NPI1578035713
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFEMININE FORMS LLC
Location Address345 S 500 EAmerican Fork, UT 84003-2525
Mailing Address345 S 500 EAmerican Fork, UT 84003-2525 · (801) 380-8881
Phone(801) 770-0600
Fax(801) 770-4565
Organization SubpartNo
Authorized OfficialLiesa NaegleManager · (801) 380-8881
Enumeration DateDecember 28, 2018
Last NPPES UpdateAugust 27, 20192 updates tracked since enumeration
✔ NPI 1578035713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
345 S 500 E, American Fork, UT 84003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Feminine Forms carries, from the Medicare DMEPOS supplier directory.

Feminine Forms

DMEPOS supplier · American Fork, UTOperated by Feminine Forms LLC
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Does not accept Medicare assignment

Feminine Forms has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20409491
Medicare Participant SinceJanuary 1, 2021
Supplier Location345 S 500 EAmerican Fork, UT 84003
Phone(801) 770-0600
Supplier Specialties
MSC With Prosthetic Personnel

Medicare Product Categories

Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Lymphedema Compression Treatment Items
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Feminine Forms LLC's NPI number?

The NPI number for Feminine Forms LLC is 1578035713. It was assigned to this organization in the NPPES registry on December 28, 2018.

Where is Feminine Forms LLC located?

Feminine Forms LLC is located at 345 S 500 E, American Fork, UT 84003. The listed phone number is (801) 770-0600.

What is Feminine Forms LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Feminine Forms LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Feminine Forms does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Feminine Forms LLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Feminine Forms 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 Feminine Forms LLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.