1. Home
  2. Directory
  3. Utah
  4. Ogden
  5. Internal Medicine
  6. NPI Profile

WOUND INTEGRITY UTAH
NPI 1699311209
Internal Medicine in Ogden, UT

Active since November 19, 2019

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Nov 19, 2019 (2 updates tracked since 2019).

About Wound Integrity Utah NPPES

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

WOUND INTEGRITY UTAH (NPI 1699311209) is a healthcare organization registered as an internal medicine in Ogden, Utah and active in the NPI registry since November 2019. The organization lists Nora Lopez, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1699311209
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER PROVIDER HEALTH UTAH PLLC
Location Address5475 S 500 EOgden, UT 84405-6905
Mailing Address1 Chisholm Trail Rd Ste 5200Round Rock, TX 78681-5090 · (512) 202-3830 · Fax (512) 354-1106
Phone(801) 479-2111
Organization SubpartNo
Authorized OfficialNora LopezAuthorized Official · (346) 239-9469
Enumeration DateNovember 19, 2019
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1699311209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
5475 S 500 E, Ogden, UT 84405
Open in Google Maps ↗

Other Names 1

Doing Business AsWound Integrity Utah

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.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)

Wound Integrity Utah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wound Integrity Utah, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Danielle Van Komen
Nurse Practitioner
NPI 1912549072
434 E 5350 S STE C
Ogden, UT 84405
(801) 479-2244
✔ PECOS✔ Accepts Medicare0.7 mi
Jayson Malufau, DO
Undersea and Hyperbaric Medicine
NPI 1538554746
965 E 700 S STE 205
St George, UT 84790
(435) 281-2273
✔ PECOS✔ Accepts Medicare294 mi
Ashley Huddleston, M.D.
Emergency Medicine
NPI 1568490621
1300 W ROSEDALE ST STE A
Fort Worth, TX 76104
(817) 730-5300
✔ PECOS✔ Accepts Medicare994 mi
Han Schmidly
Undersea and Hyperbaric Medicine
NPI 1770593436
9301 N CENTRAL EXPY STE 340
Dallas, TX 75231
(214) 466-2828
✔ PECOS✔ Accepts Medicare1,013 mi
Rene Parungao, MD
Internal Medicine
NPI 1942231667
4309 W MEDICAL CENTER DR STE B202
Mchenry, IL 60050
(815) 455-2752
✔ PECOS✔ Accepts Medicare1,222 mi
John Mauric, D.O.
Family Practice
NPI 1891731659
605 3RD AVE SUITE D
Fremont, OH 43420
(419) 355-8070
✔ PECOS✔ Accepts Medicare1,494 mi

Source: 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 Premier Provider Health Utah PLLC's NPI number?

The NPI number for Premier Provider Health Utah PLLC is 1699311209. It was assigned to this organization in the NPPES registry on November 19, 2019. The provider is doing business as Wound Integrity Utah.

Where is Premier Provider Health Utah PLLC located?

Premier Provider Health Utah PLLC is located at 5475 S 500 E, Ogden, UT 84405. The listed phone number is (801) 479-2111.

What is Premier Provider Health Utah PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premier Provider Health Utah PLLC enrolled in Medicare?

Yes. Premier Provider Health Utah PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Provider Health Utah PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Premier Provider Health Utah PLLC, in Emergency Medicine, Family Practice, Internal Medicine, Nurse Practitioner and Undersea and Hyperbaric 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Provider Health Utah PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Premier Provider Health Utah PLLC 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 Premier Provider Health Utah PLLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.