JORDAN LANDING CLINIC LLC
NPI 1962606657
Family Medicine in West Jordan, UT
About Jordan Landing Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LANDING CLINIC LLC (NPI 1962606657) is a healthcare organization registered as a family medicine in West Jordan, Utah and active in the NPI registry since June 2007. The organization lists Brenten Clark Pugh, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
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 Landing Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Jordan Landing Clinic LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Eagle Mountain, UT 84005
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 Landing Family Medicine LLC's NPI number?
The NPI number for Jordan Landing Family Medicine LLC is 1962606657. It was assigned to this organization in the NPPES registry on June 14, 2007. The provider is doing business as Jordan Landing Clinic LLC.
Where is Jordan Landing Family Medicine LLC located?
Jordan Landing Family Medicine LLC is located at 3895 W 7800 S Suite 100, West Jordan, UT 84088. The listed phone number is (801) 280-7774.
What is Jordan Landing Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jordan Landing Family Medicine LLC enrolled in Medicare?
Yes. Jordan Landing Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jordan Landing Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Jordan Landing 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 (7) and Family Practice (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jordan Landing Family Medicine LLC accept?
Health plans from University of Utah Health Plans list Jordan Landing Family Medicine 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 Jordan Landing Family Medicine LLC was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Landing Clinic Llc · NPI 1962606657
Family Medicine organization in West Jordan, Utah. Organization record, active in the CMS NPPES registry since June 14, 2007.
## Identity
- **NPI:** 1962606657 (Entity type: Organization)
- **Enumerated:** June 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Jordan Landing Family Medicine Llc
- **Organization subpart:** No
- **Authorized official:** Brenten Pugh, CEO
## Practice location
- **Address:** 3895 W 7800 S SUITE 100, West Jordan, UT 84088-1966
- **Phone:** (801) 280-7774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (2); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962606657) · Data from the CMS NPPES public registry.