INTEGRATED FUNCTIONAL MEDICINE, LLC
NPI 1780451864
Pain Medicine - Interventional Pain Medicine in Salt Lake City, UT
About Integrated Functional Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED FUNCTIONAL MEDICINE, LLC (NPI 1780451864), doing business as Integrated Pain Specialists, is a healthcare organization registered as an interventional pain medicine in Salt Lake City, Utah and active in the NPI registry since December 2023. The organization lists Kirk Wersland, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Integrated Functional Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
21Medicare enrollment records show 21 clinicians reassign Medicare billing to Integrated Functional Medicine, LLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 21Source: 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 Integrated Functional Medicine, LLC's NPI number?
The NPI number for Integrated Functional Medicine, LLC is 1780451864. It was assigned to this organization in the NPPES registry on December 7, 2023. The provider is doing business as Integrated Pain Specialists.
Where is Integrated Functional Medicine, LLC located?
Integrated Functional Medicine, LLC is located at 151 E 5600 S Ste 104, Salt Lake City, UT 84107. The listed phone number is (385) 228-4758.
What is Integrated Functional Medicine, LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Integrated Functional Medicine, LLC enrolled in Medicare?
Yes. Integrated Functional Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Functional Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 7 Medicare specialties reassign their Medicare billing to Integrated Functional Medicine, 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 Chiropractic (7), Physical Therapist in Private Practice (5) and Physical Medicine and Rehabilitation (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Integrated Functional Medicine, LLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Integrated Functional Medicine, 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 Integrated Functional Medicine, LLC was last updated on December 7, 2023. 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.
# Integrated Functional Medicine, Llc · NPI 1780451864
Interventional Pain Medicine organization in Salt Lake City, Utah. Organization record, active in the CMS NPPES registry since December 7, 2023.
## Identity
- **NPI:** 1780451864 (Entity type: Organization)
- **Enumerated:** December 7, 2023
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Also known as:** Integrated Pain Specialists (Doing Business As)
- **Organization subpart:** Yes (part of Integrated Functional Medicine, Llc)
- **Authorized official:** Kirk Wersland, OWNER
## Practice location
- **Address:** 151 E 5600 S STE 104, Salt Lake City, UT 84107-8140
- **Phone:** (385) 228-4758
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 21 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (7), Physical Therapist in Private Practice (5), Physical Medicine and Rehabilitation (3); 8 practice within 10 miles; [full list](https://npiprofile.com/npi/1780451864/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780451864) · Data from the CMS NPPES public registry.