GRANGER MEDICAL RIVERTON
NPI 1881797876
Clinic/Center - Multi-Specialty in Riverton, UT
About Granger Medical Riverton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANGER MEDICAL RIVERTON (NPI 1881797876) is a healthcare organization registered as a multi-specialty in Riverton, Utah and active in the NPI registry since September 2006. The organization lists Mary Jane Pennington, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Other Identifiers 2
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)
Granger Medical Riverton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
190Medicare enrollment records show 190 clinicians reassign Medicare billing to Granger Medical Riverton, which bills Medicare for the services they deliver. Of these, 84 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 190Source: 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 Granger Medical Clinic Inc's NPI number?
The NPI number for Granger Medical Clinic Inc is 1881797876. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Granger Medical Riverton.
Where is Granger Medical Clinic Inc located?
Granger Medical Clinic Inc is located at 12391 S 4000 W, Riverton, UT 84096. The listed phone number is (801) 302-1700.
What is Granger Medical Clinic Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Granger Medical Clinic Inc enrolled in Medicare?
Yes. Granger Medical Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granger Medical Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 190 clinicians in 32 Medicare specialties reassign their Medicare billing to Granger Medical Clinic Inc. 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 Nurse Practitioner (38), Family Practice (34) and Urology (17). Of these, 84 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Granger Medical Clinic Inc accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Granger Medical Clinic Inc 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 Granger Medical Clinic Inc was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Granger Medical Riverton · NPI 1881797876
Multi-Specialty organization in Riverton, Utah. Organization record, active in the CMS NPPES registry since September 6, 2006.
## Identity
- **NPI:** 1881797876 (Entity type: Organization)
- **Enumerated:** September 6, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Legal business name:** Granger Medical Clinic Inc
- **Organization subpart:** Yes (part of Granger Medical Clinic Inc)
- **Authorized official:** Mary Jane Pennington, PRESIDENT
## Practice location
- **Address:** 12391 S 4000 W, Riverton, UT 84096-7012
- **Phone:** (801) 302-1700 · **Fax:** (801) 302-1714
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 190 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (38), Family Practice (34), Urology (17); 84 practice within 10 miles; [full list](https://npiprofile.com/npi/1881797876/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2013
- **Other identifiers:** Medicare NSC 0977270002 (UT); Medicare PIN 000004880 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1881797876) · Data from the CMS NPPES public registry.