MOUNTAIN UTAH FAMILY MEDICINE
NPI 1659402774
Clinic/Center - Rural Health in Richfield, UT

Active since March 08, 2007CLIA 46D0902691 · Waiver
879 N MAIN ST, RICHFIELD, UT 84701(435) 896-9561 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain Utah Family Medicine NPPES

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

MOUNTAIN UTAH FAMILY MEDICINE (NPI 1659402774) is a healthcare organization registered as a rural health in Richfield, Utah and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists David M Pope, Md, as its authorized official.

NPPES Registry Identity

NPI1659402774
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN UTAH FAMILY MEDICINE
Location Address879 N MAIN STRichfield, UT 84701-1840
Mailing Address879 N Main StRichfield, UT 84701-1840 · (435) 896-9561
Organization SubpartNo
Authorized OfficialDavid M PopeMd · (435) 896-9561
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 16, 2024
NPPES CertifiedJuly 16, 2024
✔ NPI 1659402774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in UT · 463813
879 N MAIN ST, Richfield, UT 84701

Other Identifiers 1

Medicaid528925279034UT

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)

Mountain Utah Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Mountain Utah Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Podiatry
NPI 1720026560
879 N MAIN ST
Richfield, UT 84701
(435) 896-6497
✔ PECOSSame address
Nurse Practitioner
NPI 1902657570
882 N MAIN ST STE 2
Richfield, UT 84701
(435) 287-2444
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467554451
1000 N MAIN ST
Richfield, UT 84701
(435) 893-4100
✔ PECOS0.2 mi
Certified Nurse Midwife (CNM)
NPI 1740385046
1000 N MAIN ST
Richfield, UT 84701
(435) 893-4100
✔ PECOS0.2 mi
Clinical Psychologist
NPI 1215298559
164 N MAIN STREET (REAR ENTRANCE)
Richfield, UT 84701
(435) 287-4250
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1306801949
850 N MAIN ST
Richfield, UT 84701
(435) 896-9561
✔ PECOS4.3 mi
Nurse Practitioner
NPI 1194538801
340 E 300 N
Salina, UT 84654
(435) 893-5823
✔ PECOS17 mi

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 46D0902691

Mountain Utah Family Medicine · Richfield, UT
Active · expires Aug 31, 2027
CLIA Number46D0902691
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDavid M. Pope
Laboratory Phone(435) 896-9561
Laboratory LocationMountain Utah Family Medicine879 North Main Street, Richfield, UT 84701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mountain Utah Family Medicine's NPI number?

The NPI number for Mountain Utah Family Medicine is 1659402774. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Mountain Utah Family Medicine located?

Mountain Utah Family Medicine is located at 879 N Main St, Richfield, UT 84701. The listed phone number is (435) 896-9561.

What is Mountain Utah Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mountain Utah Family Medicine enrolled in Medicare?

Yes. Mountain Utah Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Utah Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Mountain Utah Family 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. The largest specialties are Nurse Practitioner (3), Certified Nurse Midwife (CNM) (1) and Clinical Psychologist (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mountain Utah Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D0902691) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain Utah Family Medicine accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Mountain Utah Family Medicine 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 Mountain Utah Family Medicine was last updated on July 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.