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

Quinn William Legere

Individual provider Physician Assistant · NPI 1619725371

Quinn William Legere is a Physician Assistant in American Fork, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2024
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Practice location Address checks out

1175 E 50 S Ste 141
American Fork, UT 84003-2845
Phone: (801) 492-5996
Fax: (801) 492-5993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1776 N Highway 40, Heber, UT 84032 — (801) 812-4624
  • 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-7186 — (385) 345-3155
  • 1055 N 500 W Ste 112, Provo, UT 84604-3305 — (801) 812-4624
  • 555 W Sr 164, Salem, UT 84653-5732 — (801) 812-4624
  • 2825 E Mall Dr, St George, UT 84790-1954 — (435) 986-2238

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11546662-1206 (UT)

Record details

NPI number1619725371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in American Fork