Justin Alan Illum
Family Nurse Practitioner · Midvale, UT
Justin Alan Illum is a family nurse practitioner with a practice address in Midvale, Utah, and NPI 1265174452, issued on Apr 8, 2022. Check the license (Utah 10386297-4405, as entered in NPPES) with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Justin Alan Illum
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 10386297-4405 UT
Self-reported in NPPES; status is on the state search - Practice location
- 971 E Creekhill LN Apt 10, Midvale, UT 84047
- Phone
- (417) 693-3850
- Enumerated
- Apr 8, 2022
- Record last updated
- Dec 8, 2024
- Medicare enrollment
- Enrolled (PECOS I20231222001593); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 2,167 in Utah → Look up another NPI →
Verify Justin Alan Illum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 10386297-4405Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- University OF Utah Adult ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin Alan Illum among 2,167 family nurse practitioner records in Utah
Justin Alan Illum is one of 2,167 family nurse practitioner records with a practice address in Utah. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 65% of them.
- NPI issued2022 · 65% of these records are older, 28% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2023 · median 2020 among the 1,159 with a school on file
- Record last updated2024 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 family nurse practitioner records list a practice address in Midvale
They are 17 of the 653 NPPES records with a practice address in Midvale, and 2,167 family nurse practitioner records in Utah.
All 2,167 in Utah → Every provider in Midvale → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Shelley Cheever, RNMidvale, UT 840471033805551
- Sara Dougherty, NPMidvale, UT 840471821024480
- Julie Frenette, ARNPCottonwood Heights, UT 840471518190628
- Anna Frost, FNP-BCMidvale, UT 840471770282477
- Alexandra HechtMidvale, UT 840471578198966
- Celeste Hicken, NP-CMidvale, UT 840471700351830
- Joanna KennedyMidvale, UT 840471871031708
- Nancy Mecham, FNPMidvale, UT 840471760596365
Common questions
What is Justin Alan Illum's NPI number?
Justin Alan Illum's National Provider Identifier (NPI) is 1265174452, issued on Apr 8, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Justin Alan Illum located?
The NPPES record lists a practice address at 971 E Creekhill LN Apt 10, Midvale, UT, 84047. Phone: (417) 693-3850. Providers update this record themselves, so call before visiting.
How can I verify Justin Alan Illum's license?
NPPES lists Utah license number 10386297-4405, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.