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

Mr. Justin Richard Degooyer, APRN

Individual provider Critical Care Medicine Registered Nurse · NPI 1578172904

Mr. Justin Richard Degooyer, APRN is a Nurse Practitioner in Ogden, Utah. Qualified in 2020, 6 years ago. Practices with Bear Lake County Memorial Hospital, a 31-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (385) 259-2714
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 9421639-4405 (UT)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 9421639-3102 (UT)

Record details

NPI number1578172904
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 24, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bear Lake County Memorial Hospital — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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