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

Mrs. Raelyn Heslop

Individual provider Physician Assistant · NPI 1376242396

Mrs. Raelyn Heslop is a Physician Assistant in Salt Lake City, Utah. Qualified in 2023, 3 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
3
Licensed in
UT
In the registry since
2023
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Practice location Address checks out

389 S 900 E
Salt Lake City, UT 84102-2310
Phone: (801) 507-2490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 523 N Main St, Bountiful, UT 84010-6036 — (801) 783-5011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13621008-1206 (UT)

Record details

NPI number1376242396
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 28, 2023
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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