TRUE NORTH PROVIDER SERVICES LLC
NPI 1619834132
Nurse Practitioner - Gerontology in South Salt Lake, UT
About True North Provider Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRUE NORTH PROVIDER SERVICES LLC (NPI 1619834132) is a healthcare organization registered as a gerontology in South Salt Lake, Utah and active in the NPI registry since January 2026. The organization lists Mark Wallace, Executive Director, 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)
True North Provider Services Llc 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 True North Provider Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice 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.
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 True North Provider Services LLC's NPI number?
The NPI number for True North Provider Services LLC is 1619834132. It was assigned to this organization in the NPPES registry on January 7, 2026.
Where is True North Provider Services LLC located?
True North Provider Services LLC is located at 2200 S State St Ste 200, South Salt Lake, UT 84115. The listed phone number is (801) 922-4790.
What is True North Provider Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is True North Provider Services LLC enrolled in Medicare?
Yes. True North Provider Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through True North Provider Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to True North Provider Services 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does True North Provider Services LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list True North Provider Services 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 True North Provider Services LLC was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# True North Provider Services Llc · NPI 1619834132
Gerontology organization in South Salt Lake, Utah. Organization record, active in the CMS NPPES registry since January 7, 2026.
## Identity
- **NPI:** 1619834132 (Entity type: Organization)
- **Enumerated:** January 7, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Mark Wallace, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 2200 S STATE ST STE 200, South Salt Lake, UT 84115-2724
- **Phone:** (801) 922-4790 · **Fax:** (801) 922-4790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1619834132) · Data from the CMS NPPES public registry.