Shane Mozingo
NPI 1295347474ActiveIndividual· Nurse Practitioner, Family· North Logan, UT
Nurse Practitioner, Family with Atlas Medical ACO LLC and 1 other group, practicing in North Logan, Utah. In 2024 Medicare paid $75,235 for 105 patients, and Part D covered 825 of their prescriptions, 82% of them generic. Lists Mat-Su Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1295347474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 19, 2020 |
| Last updated in NPPES | Dec 14, 2020 |
| Certified by provider | Dec 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 10646550-3102 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 105 |
|---|---|
| Services billed | 786 across 19 procedure codes |
| Paid by Medicare | $75,235 |
Part D prescriptions in 2024
| Prescriptions (claims) | 825 · 828 30-day fills |
|---|---|
| Patients | 69 |
| Total drug cost | $89,963 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical groups
- Atlas Medical ACO LLCMesa, AZ · 52 clinicians
- Atlas Medical Alaska LLCWasilla, AK · 6 clinicians
Hospital affiliation
- Mat-Su Regional Medical CenterPalmer, AK
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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