1. Home
  2. Directory
  3. Utah
  4. Layton
  5. Physician Assistant
  6. NPI Profile

COLLEEN ODONNELL P.A.
NPI 1942290804
Physician Assistant - Surgical in Layton, UT

Active since October 24, 2005PECOS Enrolled
2132 N 1700 W STE 230, LAYTON, UT 84041(801) 773-3900(801) 773-3900 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 17, 2017 (2 updates tracked since 2017).

About Colleen Odonnell P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN ODONNELL P.A. (NPI 1942290804) is an individual surgical provider in Layton, Utah, licensed in Utah (6526009-1206) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1942290804
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCOLLEEN ODONNELLCredential: P.A.
Location Address2132 N 1700 W STE 230Layton, UT 84041-7060
Mailing Address4017 N Wolf Creek DrEden, UT 84310-9894 · (801) 690-6456
Phone(801) 773-3900
Fax(801) 773-3900
Sole ProprietorNo
Enumeration DateOctober 24, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1942290804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 6526009-1206
Also ListedPhysician AssistantTaxonomy 363A00000X · License 007859-1 (NY)
2132 N 1700 W STE 230, Layton, UT 84041
Open in Google Maps ↗

Secondary Practice Location 1

Location 11407 N 2000 W Ste FClinton, UT 84015-8563 · Phone (801) 773-3900

Other Identifiers 1

Medicaid02108996NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Odonnell P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT THOMAS WATSON MD
Orthopaedic Surgery (Sports Medicine)
2132 N 1700 W STE 230
LAYTON, UT 84041
Davis County (801) 773-3900
DR. DALLIN L DEMORDAUNT MD
Physical Medicine & Rehabilitation
2132 N 1700 W STE 230
LAYTON, UT 84041
Davis County (801) 773-3900

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 Colleen Odonnell's NPI number?

The NPI number for Colleen Odonnell is 1942290804. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Colleen Odonnell located?

Colleen Odonnell practices at 2132 N 1700 W Ste 230, Layton, UT 84041. The listed phone number is (801) 773-3900.

What is Colleen Odonnell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Colleen Odonnell enrolled in Medicare?

Yes. Colleen Odonnell is registered in the Medicare PECOS enrollment system.

What insurance does Colleen Odonnell accept?

Health plans from Select Health list Colleen Odonnell 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 Colleen Odonnell was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.