VITALIS LLC
NPI 1598502973
Nurse Practitioner - Primary Care in Riverton, UT
About Vitalis Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITALIS LLC (NPI 1598502973) is a healthcare organization registered as a primary care in Riverton, Utah and active in the NPI registry since July 2024. The organization lists Shaun Larsen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vitalis 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 Vitalis 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 Vitalis LLC's NPI number?
The NPI number for Vitalis LLC is 1598502973. It was assigned to this organization in the NPPES registry on July 11, 2024.
Where is Vitalis LLC located?
Vitalis LLC is located at 13553 S Redwood Rd, Riverton, UT 84065. The listed phone number is (801) 910-4746.
What is Vitalis LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Vitalis LLC enrolled in Medicare?
Yes. Vitalis LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vitalis LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vitalis 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.
What insurance does Vitalis LLC accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Vitalis 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 Vitalis LLC was last updated on August 16, 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.
# Vitalis Llc · NPI 1598502973
Primary Care organization in Riverton, Utah. Organization record, active in the CMS NPPES registry since July 11, 2024.
## Identity
- **NPI:** 1598502973 (Entity type: Organization)
- **Enumerated:** July 11, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Shaun Larsen, OWNER
## Practice location
- **Address:** 13553 S REDWOOD RD, Riverton, UT 84065-5734
- **Phone:** (801) 910-4746
## 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:** August 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1598502973) · Data from the CMS NPPES public registry.