SUMMIT NEUROVISTA LLC
NPI 1801762703
Clinical Neuropsychologist in Hurricane, UT
About Summit Neurovista Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT NEUROVISTA LLC (NPI 1801762703) is a healthcare organization registered as a clinical neuropsychologist in Hurricane, Utah and active in the NPI registry since October 2025. The organization lists Tabitha Campbell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Summit Neurovista Llc 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 Summit Neurovista LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Summit Neurovista LLC's NPI number?
The NPI number for Summit Neurovista LLC is 1801762703. It was assigned to this organization in the NPPES registry on October 16, 2025.
Where is Summit Neurovista LLC located?
Summit Neurovista LLC is located at 1988 W Monument Valley Rd, Hurricane, UT 84737. The listed phone number is (801) 910-2876.
What is Summit Neurovista LLC's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Summit Neurovista LLC enrolled in Medicare?
Yes. Summit Neurovista LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Summit Neurovista LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Summit Neurovista 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Summit Neurovista LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Summit Neurovista Llc · NPI 1801762703
Clinical Neuropsychologist organization in Hurricane, Utah. Organization record, active in the CMS NPPES registry since October 16, 2025.
## Identity
- **NPI:** 1801762703 (Entity type: Organization)
- **Enumerated:** October 16, 2025
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Tabitha Campbell, OWNER
## Practice location
- **Address:** 1988 W MONUMENT VALLEY RD, Hurricane, UT 84737-4962
- **Phone:** (801) 910-2876
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1801762703) · Data from the CMS NPPES public registry.