ASPEN FAMILY MEDICINE PLLC
NPI 1730787458
Nurse Practitioner in American Fork, UT

Active since October 14, 2020
1062 E 220 S, AMERICAN FORK, UT 84003(385) 333-7633(833) 989-2351 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Aspen Family Medicine Pllc NPPES

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

ASPEN FAMILY MEDICINE PLLC (NPI 1730787458) is a healthcare organization registered as a nurse practitioner in American Fork, Utah and active in the NPI registry since October 2020. The organization lists Tyson Boltz, Owner, as its authorized official.

NPPES Registry Identity

NPI1730787458
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameASPEN FAMILY MEDICINE PLLC
Location Address1062 E 220 SAmerican Fork, UT 84003-5504
Mailing Address1062 E 220 SAmerican Fork, UT 84003-5504 · (385) 333-7633 · Fax (833) 989-2351
Fax(833) 989-2351
Organization SubpartNo
Authorized OfficialTyson BoltzOwner · (385) 333-7633
Enumeration DateOctober 14, 2020
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1730787458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
1062 E 220 S, American Fork, UT 84003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Aspen Family Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1215281118
3714 E CAMPUS DR STE 102
Eagle Mountain, UT 84005
(385) 203-1365
✔ PECOS✔ Accepts Medicare11 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 Aspen Family Medicine PLLC's NPI number?

The NPI number for Aspen Family Medicine PLLC is 1730787458. It was assigned to this organization in the NPPES registry on October 14, 2020.

Where is Aspen Family Medicine PLLC located?

Aspen Family Medicine PLLC is located at 1062 E 220 S, American Fork, UT 84003. The listed phone number is (385) 333-7633.

What is Aspen Family Medicine PLLC's specialty?

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

Is Aspen Family Medicine PLLC enrolled in Medicare?

Yes. Aspen Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aspen Family Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Aspen Family Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aspen Family Medicine PLLC accept?

Health plans from Molina Healthcare list Aspen Family Medicine 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 Aspen Family Medicine PLLC was last updated on May 29, 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.