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

Rebecca Emily Ennen, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1427235811

Rebecca Emily Ennen, FNP-BC is a Nurse Practitioner in Park City, Utah. Qualified in 2007, 19 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Utah.

Years since qualifying
19
Licensed in
CA, UT
In the registry since
2008
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

750 Round Valley Dr Ste 201
Park City, UT 84060-7549
Phone: (435) 649-7680
Fax: (435) 776-9353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Round Valley Dr, Park City, UT 84060 — (650) 644-5498

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11273913-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP17730 (CA)

Record details

NPI number1427235811
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 28, 2008
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Park City