Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SALT FLATS WELLNESS
NPI 1609604636
Nurse Practitioner - Psychiatric/Mental Health in Tooele, UT

Active since July 22, 2024
2321 N 400 E STE 200, TOOELE, UT 84074(435) 830-2028 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Sep 3, 2026, Jul 22, 2024 (3 updates tracked since 2024).

About Salt Flats Wellness NPPES

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

SALT FLATS WELLNESS (NPI 1609604636), doing business as Salt Flats Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Tooele, Utah and active in the NPI registry since July 2024. The organization lists Renee Suzanne Loveless, Owner, as its authorized official.

NPPES Registry Identity

NPI1609604636
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSALT FLATS WELLNESS
Location Address2321 N 400 E STE 200Tooele, UT 84074-3440
Mailing Address356 W 1880 NTooele, UT 84074-9110 · (435) 830-2028
Organization SubpartNo
Authorized OfficialRenee Suzanne LovelessOwner · (435) 264-7926
Enumeration DateJuly 22, 2024
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1609604636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
2321 N 400 E STE 200, Tooele, UT 84074

Other Names 1

Doing Business AsSalt Flats Psychiatry

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)

Salt Flats Wellness 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 Salt Flats Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1104673896
2321 N 400 E STE 200
Tooele, UT 84074
(435) 264-7926
✔ PECOS✔ Accepts MedicareSame address

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 Salt Flats Wellness's NPI number?

The NPI number for Salt Flats Wellness is 1609604636. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is doing business as Salt Flats Psychiatry.

Where is Salt Flats Wellness located?

Salt Flats Wellness is located at 2321 N 400 E Ste 200, Tooele, UT 84074. The listed phone number is (435) 830-2028.

What is Salt Flats Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Salt Flats Wellness enrolled in Medicare?

Yes. Salt Flats Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Salt Flats Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Salt Flats Wellness. 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 Salt Flats Wellness accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Salt Flats Wellness 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 Salt Flats Wellness was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.