GRANGER MEDICAL PARK CITY
NPI 1699050823
Clinic/Center - Multi-Specialty in West Jordan, UT
About Granger Medical Park City NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANGER MEDICAL PARK CITY (NPI 1699050823) is a healthcare organization registered as a multi-specialty in West Jordan, Utah and active in the NPI registry since October 2011. The organization lists Mary Jane Pennington, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Granger Medical Park City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
190Medicare enrollment records show 190 clinicians reassign Medicare billing to Granger Medical Park City, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 152 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 190Source: 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 Granger Medical Park City's NPI number?
The NPI number for Granger Medical Park City is 1699050823. It was assigned to this organization in the NPPES registry on October 19, 2011.
Where is Granger Medical Park City located?
Granger Medical Park City is located at 3181 W 9000 So, West Jordan, UT 84088. The listed phone number is (801) 569-5520.
What is Granger Medical Park City's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Granger Medical Park City enrolled in Medicare?
Yes. Granger Medical Park City is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granger Medical Park City?
According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 32 Medicare specialties reassign their Medicare billing to Granger Medical Park City. 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 (38), Family Practice (34) and Urology (17). Of these, 19 practice at this address and 152 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 Granger Medical Park City was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Granger Medical Park City · NPI 1699050823
Multi-Specialty organization in West Jordan, Utah. Organization record, active in the CMS NPPES registry since October 19, 2011.
## Identity
- **NPI:** 1699050823 (Entity type: Organization)
- **Enumerated:** October 19, 2011
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Granger Medical Clinic Inc)
- **Authorized official:** Mary Pennington, PRESIDENT
## Practice location
- **Address:** 3181 W 9000 SO, West Jordan, UT 84088
- **Phone:** (801) 569-5520 · **Fax:** (801) 352-5951
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 190 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (34), Urology (17); 19 practice at this address and 152 within 10 miles; [full list](https://npiprofile.com/npi/1699050823/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2013
- **Other identifiers:** Medicare PIN 000004880 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1699050823) · Data from the CMS NPPES public registry.