JORDAN RIDGE FAMILY MEDICINE LLC
NPI 1962166710
Clinic/Center - Primary Care in Sandy, UT
About Jordan Ridge Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RIDGE FAMILY MEDICINE LLC (NPI 1962166710) is a healthcare organization registered as a primary care in Sandy, Utah and active in the NPI registry since October 2021. The organization lists Emily Castillo, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Ridge Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Jordan Ridge Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (19)
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 Jordan Ridge Family Medicine LLC's NPI number?
The NPI number for Jordan Ridge Family Medicine LLC is 1962166710. It was assigned to this organization in the NPPES registry on October 27, 2021.
Where is Jordan Ridge Family Medicine LLC located?
Jordan Ridge Family Medicine LLC is located at 1403 E Sego Lily Dr, Sandy, UT 84092. The listed phone number is (385) 274-3959.
What is Jordan Ridge Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jordan Ridge Family Medicine LLC enrolled in Medicare?
Yes. Jordan Ridge Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan Ridge Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 2 Medicare specialties reassign their Medicare billing to Jordan Ridge Family Medicine 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 (11) and Family Practice (8). Of these, 5 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Ridge Family Medicine LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jordan Ridge Family Medicine Llc · NPI 1962166710
Primary Care organization in Sandy, Utah. Organization record, active in the CMS NPPES registry since October 27, 2021.
## Identity
- **NPI:** 1962166710 (Entity type: Organization)
- **Enumerated:** October 27, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Emily Castillo, MANAGER
## Practice location
- **Address:** 1403 E SEGO LILY DR, Sandy, UT 84092-4350
- **Phone:** (385) 274-3959 · **Fax:** (385) 274-3970
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (8); 5 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1962166710) · Data from the CMS NPPES public registry.