TREEHOUSE PEDIATRICS & FAMILY CARE
NPI 1619553864
Pediatrics in Logan, UT
About Treehouse Pediatrics & Family Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TREEHOUSE PEDIATRICS & FAMILY CARE (NPI 1619553864) is a healthcare organization registered as a pediatrics in Logan, Utah and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 3, 2028 and lists Miranda Overy Bryan, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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)
Treehouse Pediatrics & Family Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Treehouse Pediatrics & Family Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2339590
Treehouse Pediatrics & Family Care · Logan, UTFrequently 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 Treehouse Acorn Pediatrics & Family Care's NPI number?
The NPI number for Treehouse Acorn Pediatrics & Family Care is 1619553864. It was assigned to this organization in the NPPES registry on March 18, 2021. The provider is doing business as Treehouse Pediatrics & Family Care.
Where is Treehouse Acorn Pediatrics & Family Care located?
Treehouse Acorn Pediatrics & Family Care is located at 1325 N 600 E Ste 101, Logan, UT 84341. The listed phone number is (435) 213-3970.
What is Treehouse Acorn Pediatrics & Family Care's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Treehouse Acorn Pediatrics & Family Care enrolled in Medicare?
Yes. Treehouse Acorn Pediatrics & Family Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Treehouse Acorn Pediatrics & Family Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Treehouse Acorn Pediatrics & Family Care, in Nurse Practitioner and Pediatric Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Treehouse Acorn Pediatrics & Family Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2339590) is associated with this NPI, valid through March 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Treehouse Acorn Pediatrics & Family Care accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Treehouse Acorn Pediatrics & Family Care 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 Treehouse Acorn Pediatrics & Family Care was last updated on November 16, 2022. 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.
# Treehouse Pediatrics & Family Care · NPI 1619553864
Pediatrics organization in Logan, Utah. Organization record, active in the CMS NPPES registry since March 18, 2021.
## Identity
- **NPI:** 1619553864 (Entity type: Organization)
- **Enumerated:** March 18, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Treehouse Acorn Pediatrics & Family Care
- **Organization subpart:** No
- **Authorized official:** Miranda Bryan, PRACTICE MANAGER
## Practice location
- **Address:** 1325 N 600 E STE 101, Logan, UT 84341-6743
- **Phone:** (435) 213-3970 · **Fax:** (435) 355-3746
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Pediatric Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2022
- **Other identifiers:** Medicaid 528112320001 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619553864) · Data from the CMS NPPES public registry.