Aspen Family Medicine PLLC
NPI 1730787458ActiveOrganization· Nurse Practitioner· American Fork, UT
Nurse Practitioner in American Fork, Utah, registered in NPPES in October 2020. The authorized official on file is Tyson Boltz, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730787458 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2020 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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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