Utah Pain & Rehab LLC
NPI 1689788762ActiveOrganization· Nurse Practitioner· Ogden, UT
Nurse Practitioner in Ogden, Utah, registered in NPPES in August 2006. The authorized official on file is Shery Marchese, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689788762 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2006 |
| Last updated in NPPES | Mar 25, 2025 |
| Certified by provider | Mar 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 347196-4405 | UT |
| Social Worker, Clinical | 1041C0700X | — | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
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 Part B Supplier - Clinic/Group Practice (UT) |
|---|
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