NORTHERN UTAH GENERAL SURGERY
NPI 1790010619
Surgery in Vernal, UT
About Northern Utah General Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHERN UTAH GENERAL SURGERY (NPI 1790010619) is a healthcare organization registered as a surgery in Vernal, Utah and active in the NPI registry since October 2009. The organization lists Charlotte Lawrence, Secretary, 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)
Northern Utah General Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
57Medicare enrollment records show 57 clinicians reassign Medicare billing to Northern Utah General Surgery, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 57Vernal Utah, UT 84078
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 Ashley Valley Physician Practice, LLC's NPI number?
The NPI number for Ashley Valley Physician Practice, LLC is 1790010619. It was assigned to this organization in the NPPES registry on October 9, 2009. The provider is doing business as Northern Utah General Surgery.
Where is Ashley Valley Physician Practice, LLC located?
Ashley Valley Physician Practice, LLC is located at 150 W 100 N Suite 102S, Vernal, UT 84078. The listed phone number is (435) 781-2161.
What is Ashley Valley Physician Practice, LLC's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Ashley Valley Physician Practice, LLC enrolled in Medicare?
Yes. Ashley Valley Physician Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ashley Valley Physician Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 13 Medicare specialties reassign their Medicare billing to Ashley Valley Physician Practice, 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 Internal Medicine (10), Family Practice (9) and Nurse Practitioner (8). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ashley Valley Physician Practice, LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Ashley Valley Physician Practice, 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 Ashley Valley Physician Practice, LLC was last updated on September 18, 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.
# Northern Utah General Surgery · NPI 1790010619
Surgery organization in Vernal, Utah. Organization record, active in the CMS NPPES registry since October 9, 2009.
## Identity
- **NPI:** 1790010619 (Entity type: Organization)
- **Enumerated:** October 9, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Legal business name:** Ashley Valley Physician Practice, Llc
- **Organization subpart:** No
- **Authorized official:** Charlotte Lawrence, SECRETARY
## Practice location
- **Address:** 150 W 100 N, SUITE 102S, Vernal, UT 84078-2036
- **Phone:** (435) 781-2161 · **Fax:** (435) 781-2162
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 57 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (10), Family Practice (9), Nurse Practitioner (8); 10 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1790010619/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790010619) · Data from the CMS NPPES public registry.