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

Chantee I Wyatt, PA-C

Individual provider Physician Assistant · NPI 1104135326

Chantee I Wyatt, PA-C is a Physician Assistant in Logan, Utah. Qualified in 2010, 16 years ago. Practices with Deserae J Goble MD PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
16
Licensed in
ID, UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1451 N 200 E Ste #250
Logan, UT 84341
Phone: (435) 363-7853
Fax: (435) 799-3598
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7766525-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA-1182 (ID)

Record details

NPI number1104135326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 5, 2010
Last updated in NPPESOctober 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Deserae J Goble Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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