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

MS. Natalie Grevelink, PA-C

Individual provider Physician Assistant · NPI 1407060908

MS. Natalie Grevelink, PA-C is a Physician Assistant in Park City, Utah. Graduated from University of Florida College of Medicine in 2001, 25 years ago. Practices with The Dermatology House PC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Utah.

Years since qualifying
25
Trained at
University of Florida College of Medicine
Licensed in
MA, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1526 Ute Blvd Ste 104
Park City, UT 84098-7575
Phone: (435) 602-1918
Fax: (435) 731-8109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12779730-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence AP1948 (MA)

Record details

NPI number1407060908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice The Dermatology House Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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