CANYON MEDICAL GROUP LLC
NPI 1952599409
Pediatrics in Logan, UT
About Canyon Medical Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANYON MEDICAL GROUP LLC (NPI 1952599409), doing business as Treehouse Pediatrics & Family Care Llc, is a healthcare organization registered as a pediatrics in Logan, Utah and active in the NPI registry since October 2007. The organization lists Wendy Wimmer, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Canyon Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Canyon Medical Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. 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.
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 Canyon Medical Group LLC's NPI number?
The NPI number for Canyon Medical Group LLC is 1952599409. It was assigned to this organization in the NPPES registry on October 10, 2007. The provider was formerly known as Treehouse Pediatrics & Family Care LLC.
Where is Canyon Medical Group LLC located?
Canyon Medical Group LLC is located at 1624 N 200 E Ste 160, Logan, UT 84341. The listed phone number is (435) 750-5599.
What is Canyon Medical Group LLC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Canyon Medical Group LLC enrolled in Medicare?
Yes. Canyon Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Canyon Medical Group LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Canyon Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Canyon Medical Group LLC, 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Canyon Medical Group LLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Canyon Medical Group LLC 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 Canyon Medical Group LLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Canyon Medical Group Llc · NPI 1952599409
Pediatrics organization in Logan, Utah. Organization record, active in the CMS NPPES registry since October 10, 2007.
## Identity
- **NPI:** 1952599409 (Entity type: Organization)
- **Enumerated:** October 10, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Wendy Wimmer, MANAGER
## Practice location
- **Address:** 1624 N 200 E STE 160, Logan, UT 84341-3175
- **Phone:** (435) 750-5599 · **Fax:** (435) 750-0861
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **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); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2023
- **Other identifiers:** Medicaid 528291883001 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1952599409) · Data from the CMS NPPES public registry.