BE WELL MEDICAL
NPI 1669092169
Clinic/Center - Primary Care in Hyde Park, UT
About Be Well Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BE WELL MEDICAL (NPI 1669092169) is a healthcare organization registered as a primary care in Hyde Park, Utah and active in the NPI registry since April 2020. The organization lists Andrea Lee Skates, Fnp/operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Be Well Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Be Well Medical, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 46D2192438
Be Well Medical, PLLC · Hyde Park, 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 Be Well Medical, PLLC's NPI number?
The NPI number for Be Well Medical, PLLC is 1669092169. It was assigned to this organization in the NPPES registry on April 24, 2020. The provider is doing business as Be Well Medical.
Where is Be Well Medical, PLLC located?
Be Well Medical, PLLC is located at 3935 N 75 W, Hyde Park, UT 84318. The listed phone number is (435) 359-0720.
What is Be Well Medical, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Be Well Medical, PLLC enrolled in Medicare?
Yes. Be Well Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Be Well Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Be Well Medical, PLLC. 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 at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Be Well Medical, PLLC was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Be Well Medical · NPI 1669092169
Primary Care organization in Hyde Park, Utah. Organization record, active in the CMS NPPES registry since April 24, 2020.
## Identity
- **NPI:** 1669092169 (Entity type: Organization)
- **Enumerated:** April 24, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Be Well Medical, Pllc
- **Organization subpart:** No
- **Authorized official:** Andrea Skates, FNP/OPERATIONS MANAGER
## Practice location
- **Address:** 3935 N 75 W, Hyde Park, UT 84318-4111
- **Phone:** (435) 359-0720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 14, 2020
- **Other identifiers:** Medicaid 1972990828 (UT); Medicaid 1811519085 (UT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669092169) · Data from the CMS NPPES public registry.