LIVING TREE MEDICAL GROUP
NPI 1639754583
Family Medicine in Logan, UT
About Living Tree Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVING TREE MEDICAL GROUP (NPI 1639754583) is a healthcare organization registered as a family medicine in Logan, Utah and active in the NPI registry since March 2021. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Kris Coleman, Coc, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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)
Living Tree Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Living Tree Medical Group, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
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 2
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 46D2246257
Living Tree Medical Group · Providence, UTCertificate of Waiver 46D2232587
Living Tree Medical Group LLC · 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 Living Tree Medical Group's NPI number?
The NPI number for Living Tree Medical Group is 1639754583. It was assigned to this organization in the NPPES registry on March 12, 2021.
Where is Living Tree Medical Group located?
Living Tree Medical Group is located at 1635 N 200 E, Logan, UT 84341. The listed phone number is (435) 565-6043.
What is Living Tree Medical Group's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Living Tree Medical Group enrolled in Medicare?
Yes. Living Tree Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Living Tree Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Living Tree Medical Group. 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. The largest specialties are Nurse Practitioner (4), Family Practice (3) and General Practice (1). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Living Tree Medical Group hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Living Tree Medical Group accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Living Tree Medical Group 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 Living Tree Medical Group was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Living Tree Medical Group · NPI 1639754583
Family Medicine organization in Logan, Utah. Organization record, active in the CMS NPPES registry since March 12, 2021.
## Identity
- **NPI:** 1639754583 (Entity type: Organization)
- **Enumerated:** March 12, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kris Coleman, COC
## Practice location
- **Address:** 1635 N 200 E, Logan, UT 84341-1913
- **Phone:** (435) 565-6043 · **Fax:** (435) 215-4420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Family Practice (3), General Practice (1); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639754583) · Data from the CMS NPPES public registry.