Ms Dana Michelle Roach, FNP - Medicare Nurse Practitioner in Eagle Mountain, UT

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Ms Dana Michelle Roach, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Eagle Mountain, Utah. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Onsite Advanced Care and her current practice location is 3435 E Pony Express Pkwy Ste 104, Eagle Mountain, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 789-2444.

Ms Dana Michelle Roach is licensed to practice in Utah (license number 343107-4405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265050660.

Contact Information

Ms Dana Michelle Roach, FNP
3435 E Pony Express Pkwy Ste 104,
Eagle Mountain, UT 84005-5515
(801) 789-2444
(801) 789-2045

Map and Direction




Provider's Profile

Full NameMs Dana Michelle Roach
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3435 E Pony Express Pkwy Ste 104, Eagle Mountain, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Dana Michelle Roach graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1265050660
  • Provider Enumeration Date: 07/12/2020
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9436573722
  • Enrollment ID: I20200720002167

Medical Identifiers

Medical identifiers for Ms Dana Michelle Roach such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265050660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 343107-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Symbii Home Health SouthWest valley city, UTHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Onsite Advanced Care791130005812

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Dana Michelle Roach allows following entities to bill medicare on her behalf.
Entity NameMountain West Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770581605
PECOS PAC ID: 6406813070
Enrollment ID: O20041215000392
Entity NameOnsite Advanced Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184293136
PECOS PAC ID: 7911300058
Enrollment ID: O20210727001182
Entity NameCedar Valley Family & Foot Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649902461
PECOS PAC ID: 1759765027
Enrollment ID: O20220906001237

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Dana Michelle Roach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Dana Michelle Roach, FNP
280 S Main St,
Bountiful, UT 84010-6236

Ph: (801) 505-0821		Ms Dana Michelle Roach, FNP
3435 E Pony Express Pkwy Ste 104,
Eagle Mountain, UT 84005-5515

Ph: (801) 789-2444

Reviews and Comments


Nurse Practitioner Nurses in Eagle Mountain, UT

Paul Knorr Lewis, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4095 E Pony Express Pkwy, Ste 1, Eagle Mountain, UT 84005
Phone: 801-429-8037    Fax: 801-753-7476
Weston George Rallis,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5256 E Blacksmith Rd, Eagle Mountain, UT 84005
Phone: 801-828-7909    
Brooke Ludwig,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005
Phone: 801-789-2444    Fax: 801-789-2045
Tahsha T Spackman, WHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7224 N Skyview Ln, Eagle Mountain, UT 84005
Phone: 208-851-1987    
Mr. Lorin Leithead, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4095 E Pony Express Pkwy, Suite 1, Eagle Mountain, UT 84005
Phone: 801-429-8037    Fax: 801-753-7476
Brian Lee Simmons, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3943 E Pony Express Pkwy Ste 120, Eagle Mountain, UT 84005
Phone: 801-789-5566    Fax: 801-642-2942

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.