ALEX PAUL HASLAM RN, FNP
NPI 1962133686
Nurse Practitioner in West Valley City, UT

Q: What is Alex Haslam's NPI number?

The NPI number for Alex Haslam is 1962133686. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Q: What is Alex Haslam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alex Haslam was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment

2965 W 3500 S, WEST VALLEY CITY, UT 84119(801) 965-3600 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Mar 6, 2023 (2 updates tracked since 2023).

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About Alex Paul Haslam Rn, Fnp NPPES

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

ALEX PAUL HASLAM RN, FNP (NPI 1962133686) is an individual nurse practitioner in West Valley City, Utah, licensed in Utah (13523469-4405) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962133686

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameALEX PAUL HASLAMCredential: RN, FNP

Location Address2965 W 3500 SWest Valley City, UT 84119-3602

Mailing Address2965 W 3500 SWest Valley City, UT 84119-3602 · (801) 965-3600

Phone(801) 965-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 22, 2022

Last NPPES UpdateApril 23, 20242 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1962133686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in UT · 13523469-4405✔ Licensed in FL · 9552971

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 9552971 (FL)

2965 W 3500 S, West Valley City, UT 84119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alex Paul Haslam Rn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911378062

PECOS Enrollment IDI20230127000594

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.

Medicare Billing Reassignments

Medicare enrollment records show Alex Haslam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granger Medical Clinic PC

Same address

Multi-Specialty

2965 W. 3500 S.
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
190 clinicians in this Medicare group

NPI 1184657041 (801) 965-3600

Granger Medical Specialists LLC

Same address

Clinic/Center

2965 W 3500 S
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
188 clinicians in this Medicare group

NPI 1376159368 (801) 965-3600

St. David's Carenow Urgent Care PLLC

1,061 mi

Family Medicine

5033 W HIGHWAY 290
Austin, TX 78735

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: St Davids Carenow Urgent Care PLLC
106 clinicians in this Medicare group

NPI 1851844104 (512) 265-8980

Doctors Express Of The Beaumont Area PA

1,239 mi

Urgent Care

3195 DOWLEN RD STE 105
Beaumont, TX 77706

Reassigned Medicare billing, Texas enrollment
351 clinicians in this Medicare group

NPI 1841525235 (409) 860-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. CASEY JOSEPH HENICH MD

Family Medicine