Blue Sage Medical LLC
NPI 1487016226ActiveOrganization· Nurse Practitioner, Primary Care· Park City, UT
Nurse Practitioner, Primary Care in Park City, Utah, registered in NPPES in March 2016. The authorized official on file is Gina Coccimiglio, NP, Agpcnp.
Overview
| NPI | 1487016226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Aug 29, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 123071-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other primary care nurse practitioners in Park City
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