PURE INFUSION OF UTAH LLC
NPI 1902751852
Clinic/Center - Multi-Specialty in Taylorsville, UT
About Pure Infusion Of Utah Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PURE INFUSION OF UTAH LLC (NPI 1902751852) is a healthcare organization registered as a multi-specialty in Taylorsville, Utah and active in the NPI registry since March 2026. The organization holds 3 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Rachel Fraga, Vp Of Payer Development, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pure Infusion Of Utah Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pure Infusion Of Utah LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 3
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 27D2350090
Pure Infusion Of Great Falls · Great Falls, MTCertificate of Waiver 03D2292028
Pure Infusion Of Tanque Verde · Tucson, AZCertificate of Waiver 03D2291997
Pure Infusion Of Queen Creek · Queen Creek, AZFrequently 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 Pure Infusion Of Utah LLC's NPI number?
The NPI number for Pure Infusion Of Utah LLC is 1902751852. It was assigned to this organization in the NPPES registry on March 4, 2026.
Where is Pure Infusion Of Utah LLC located?
Pure Infusion Of Utah LLC is located at 4179 S Riverboat Rd Ste 170, Taylorsville, UT 84123. The listed phone number is (385) 276-3945.
What is Pure Infusion Of Utah LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Pure Infusion Of Utah LLC enrolled in Medicare?
Yes. Pure Infusion Of Utah LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pure Infusion Of Utah LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Pure Infusion Of Utah 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 Nurse Practitioner (3) and Emergency Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pure Infusion Of Utah LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Pure Infusion Of Utah LLC was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Pure Infusion Of Utah Llc · NPI 1902751852
Multi-Specialty organization in Taylorsville, Utah. Organization record, active in the CMS NPPES registry since March 4, 2026.
## Identity
- **NPI:** 1902751852 (Entity type: Organization)
- **Enumerated:** March 4, 2026
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Rachel Fraga, VP OF PAYER DEVELOPMENT
## Practice location
- **Address:** 4179 S RIVERBOAT RD STE 170, Taylorsville, UT 84123-2702
- **Phone:** (385) 276-3945
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Emergency Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2026
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902751852) · Data from the CMS NPPES public registry.