Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Austin King Fackler, FNP-C

Individual provider Family Nurse Practitioner · NPI 1437871514

Austin King Fackler, FNP-C is a Nurse Practitioner in Erda, Utah. Qualified in 2022, 4 years ago. Practices with Tooele Clinic Corp, a 64-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
4
Licensed in
UT
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5132 Heidi Way
Erda, UT 84074-9246
Phone: (435) 773-8173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11081203-4405 (UT)

Record details

NPI number1437871514
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 14, 2022
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tooele Clinic Corp — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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