UTAH PAIN & REHAB LLC
NPI 1689788762
Nurse Practitioner in Ogden, UT

Active since August 18, 2006CLIA 46D2008016 · Waiver
1276 WALL AVE STE 1, OGDEN, UT 84404(801) 337-4000(801) 337-4002 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Utah Pain & Rehab Llc NPPES

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

UTAH PAIN & REHAB LLC (NPI 1689788762), doing business as Utah Pain And Rehab Inc, is a healthcare organization registered as a nurse practitioner in Ogden, Utah and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Shery Marchese, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689788762
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameUTAH PAIN & REHAB LLC
Location Address1276 WALL AVE STE 1Ogden, UT 84404-5673
Mailing Address1276 Wall Ave Ste 1Ogden, UT 84404-5673 · (801) 337-4000 · Fax (801) 337-4002
Fax(801) 337-4002
Organization SubpartNo
Authorized OfficialShery MarcheseAdministrator · (801) 337-4000
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1689788762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 347196-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
1276 WALL AVE STE 1, Ogden, UT 84404

Other Names 1

Former Legal Business NameUtah Pain And Rehab Inc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Utah Pain & Rehab Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Utah Pain & Rehab LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner10
Chiropractic1
Clinical Social Worker1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1750986162
1276 WALL AVE STE 1
Ogden, UT 84404
(801) 337-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1538266697
1276 WALL AVE
Ogden, UT 84404
(801) 337-4000
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1518150648
1531 DOUGLAS ST
Ogden, UT 84404
(801) 645-1764
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1174387831
3848 HARRISON BLVD
Ogden, UT 84408
(801) 626-6000
✔ PECOS✔ Accepts Medicare3.9 mi
Chiropractic
NPI 1093188179
6033 FASHION POINT DR
South Ogden, UT 84403
(801) 475-6800
✔ Accepts Medicare6.6 mi
Nurse Practitioner
NPI 1841870805
275 W 200 N STE 7
Kaysville, UT 84037
(801) 546-1300
✔ PECOS14 mi
Nurse Practitioner
NPI 1881400711
508 S 25 E
Kaysville, UT 84037
(801) 643-3496
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1487291639
81 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
(801) 662-2940
✔ PECOS33 mi
Nurse Practitioner
NPI 1699347732
500 FOOTHILL DR
Salt Lake City, UT 84148
(801) 582-1565
✔ PECOS✔ Accepts Medicare34 mi
Nurse Practitioner
NPI 1700314085
1264 W VILLAGE MAIN DR UNIT A
West Valley City, UT 84119
(801) 972-0393
✔ PECOS✔ Accepts Medicare38 mi
Nurse Practitioner
NPI 1679820401
5171 S COTTONWOOD ST STE 610
Murray, UT 84107
(801) 898-1819
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1184195034
111 COLCHESTER AVE
Burlington, VT 05401
(802) 847-0000
✔ PECOS✔ Accepts Medicare1,964 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 46D2008016

Utah Pain & Rehab LLC · Ogden, UT
Active · expires Jun 1, 2028
CLIA Number46D2008016
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorApril Simkins
Laboratory Phone(801) 337-4000
Laboratory LocationUtah Pain & Rehab LLC1276 Wall Ave, Ste 1, Ogden, UT 84404
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 Utah Pain & Rehab LLC's NPI number?

The NPI number for Utah Pain & Rehab LLC is 1689788762. It was assigned to this organization in the NPPES registry on August 18, 2006. The provider was formerly known as Utah Pain and Rehab INC.

Where is Utah Pain & Rehab LLC located?

Utah Pain & Rehab LLC is located at 1276 Wall Ave Ste 1, Ogden, UT 84404. The listed phone number is (801) 337-4000.

What is Utah Pain & Rehab LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Utah Pain & Rehab LLC enrolled in Medicare?

Yes. Utah Pain & Rehab LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Utah Pain & Rehab LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Utah Pain & Rehab 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. The largest specialties are Nurse Practitioner (10), Chiropractic (1) and Clinical Social Worker (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Utah Pain & Rehab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2008016) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Utah Pain & Rehab LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Utah Pain & Rehab 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 Utah Pain & Rehab LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.