Shelby Maryann Moderow
Medical Physician Assistant · Hill Afb, UT
Shelby Maryann Moderow is a medical physician assistant with a practice address in Hill Afb, Utah, and NPI 1366164535, issued on Sep 14, 2022. Check the license with the Utah board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shelby Maryann Moderow
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- Practice location
- 7321 Balmer St # 570, Hill Afb, UT 84056
- Phone
- (801) 586-2273
- Enumerated
- Sep 14, 2022
- Record last updated
- Sep 14, 2022
- Medicare enrollment
- Enrolled (PECOS I20251205004214); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 373 in Utah → Look up another NPI →
Also registered at 7321 Balmer St # 570
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Shelby Maryann Moderow in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this professionCheck 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 Behavioral Health ServicesSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shelby Maryann Moderow among 373 medical physician assistant records in Utah
Shelby Maryann Moderow is one of 373 medical physician assistant records with a practice address in Utah. 78% 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 87% of them.
- NPI issued2022 · 87% of these records are older, 8% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 61% of these records are
- Graduated2022 · median 2013 among the 226 with a school on file
- Record last updated2022 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 medical physician assistant record lists a practice address in Hill Afb
They are 1 of the 132 NPPES records with a practice address in Hill Afb, and 373 medical physician assistant records in Utah.
All 373 in Utah → Every provider in Hill Afb → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Christine Broken Leg, PAOrem, UT 840571740287861
- Mark CattermoleOrem, UT 840571720484934
- Allison Felshaw, P.A.Orem, UT 840571821398371
- Desiree Funk, PA-COrem, UT 840571841440542
- Shawn Gibbs, PAOrem, UT 840571861760167
- Todd Seamons, PA-COrem, UT 840571821125907
- Jean Stanford, PA-COrem, UT 840571710037213
- Jorelle Anali BalahadiaOrem, UT 840581225995293
Common questions
What is Shelby Maryann Moderow's NPI number?
Shelby Maryann Moderow's National Provider Identifier (NPI) is 1366164535, issued on Sep 14, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Shelby Maryann Moderow located?
The NPPES record lists a practice address at 7321 Balmer St # 570, Hill Afb, UT, 84056. Phone: (801) 586-2273. Providers update this record themselves, so call before visiting.
How can I verify Shelby Maryann Moderow's license?
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.