COUNTRY HEALTHCARE LLC
NPI 1578224671
Nurse Practitioner - Family in Lehi, UT

Active since January 01, 2022
35 N 500 W, LEHI, UT 84043(385) 383-3103(385) 352-1003 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 1, 2023, Jan 1, 2022 (2 updates tracked since 2022).

About Country Healthcare Llc NPPES

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

COUNTRY HEALTHCARE LLC (NPI 1578224671) is a healthcare organization registered as a family in Lehi, Utah and active in the NPI registry since January 2022. The organization lists Virginia Jefferies, Owner, as its authorized official.

NPPES Registry Identity

NPI1578224671
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOUNTRY HEALTHCARE LLC
Location Address35 N 500 WLehi, UT 84043-1755
Mailing Address35 N 500 WLehi, UT 84043-1755 · (385) 352-5545 · Fax (385) 352-1003
Fax(385) 352-1003
Organization SubpartNo
Authorized OfficialVirginia JefferiesOwner · (385) 352-5545
Enumeration DateJanuary 1, 2022
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1578224671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
35 N 500 W, Lehi, UT 84043

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Country Healthcare 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 Country Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1598312753
1541 S MEADOWVIEW DR
Lehi, UT 84043
(385) 352-5545
✔ PECOS1.4 mi

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 Country Healthcare LLC's NPI number?

The NPI number for Country Healthcare LLC is 1578224671. It was assigned to this organization in the NPPES registry on January 1, 2022.

Where is Country Healthcare LLC located?

Country Healthcare LLC is located at 35 N 500 W, Lehi, UT 84043. The listed phone number is (385) 383-3103.

What is Country Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Country Healthcare LLC enrolled in Medicare?

Yes. Country Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Country Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Country Healthcare 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 Country Healthcare LLC was last updated on March 1, 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.