ASHLEY VALLEY FAMILY PRACTICE
NPI 1881779809
Family Medicine in Vernal, UT
About Ashley Valley Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY VALLEY FAMILY PRACTICE (NPI 1881779809) is a healthcare organization registered as a family medicine in Vernal, Utah and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Shaun C Shurtliff, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Ashley Valley Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ashley Valley Family Practice, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D1047543
Ashley Valley Family Practice · Vernal, UTFrequently 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 Family Practice's NPI number?
The NPI number for Ashley Valley Family Practice is 1881779809. It was assigned to this organization in the NPPES registry on October 26, 2006.
Where is Ashley Valley Family Practice located?
Ashley Valley Family Practice is located at 872 W Highway 40, Vernal, UT 84078. The listed phone number is (435) 781-8899.
What is Ashley Valley Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ashley Valley Family Practice enrolled in Medicare?
Yes. Ashley Valley Family Practice is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ashley Valley Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ashley Valley Family Practice, in Family Practice and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ashley Valley Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D1047543) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ashley Valley Family Practice accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Ashley Valley Family Practice 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 Family Practice was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ashley Valley Family Practice · NPI 1881779809
Family Medicine organization in Vernal, Utah. Organization record, active in the CMS NPPES registry since October 26, 2006.
## Identity
- **NPI:** 1881779809 (Entity type: Organization)
- **Enumerated:** October 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shaun Shurtliff, PRESIDENT
## Practice location
- **Address:** 872 W HIGHWAY 40, Vernal, UT 84078-2416
- **Phone:** (435) 781-8899 · **Fax:** (435) 781-8898
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2020
- **Other identifiers:** Other 07/16/1967
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881779809) · Data from the CMS NPPES public registry.